Social Media Photo Release Form

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
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

Clear
Date Signed

Month Day Year
Date
Should be Empty: