Photo Consent Form

Photo Consent Form
I grant permission for Personal Growth Services to take my child, child's name photo. initials
I authorize Personal Growth Services to use these photos on their: (check all that apply)
I authorize Personal Growth Services to take pictures of my child's:
Signature
Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
This photo consent form is no longer valid when the child turns 18 or if the parent/individual revokes consent at any time.
Should be Empty: