Social Media Photo Release Form
Name/Parent -Child Name
*
First Name
Last Name
Name/Parent -Child Name
First Name
Last Name
Age
*
Date of Birth (If under 18 please have parent consent)
*
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
Rather Not Say
Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
Authorization, Release, and Consent
Can we use your name? (select all that apply)
*
Complete name
First name
Anonymous
Tag on Social Media
Check Off All Below
*
I authorize and grant {Ms Berry Cares Foundation (MBCF) } to take my photos regarding my experiences with them which includes all events, workshops, meet & greets etc.
I grant {MBCF} to use my photos on Facebook, Twitter, Instagram, and any other social media platform.
I allow {MBCF} to edit, alter, copy, or distribute the photos for social media advertising and marketing.
I agree that the photos belong to {MBCF}.
I understand that I will NOT receive any monetary compensation and have agreed to the use of my photos..
Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Should be Empty: