Swillington ARLFC Photography Opt-Out Form

Swillington ARLFC Photography Opt-Out Form
I do not authorize Swillington ARLFC, or its coaches, volunteers, or social media team to use recordings or photographs of myself (or the below-named child in my care) in whole or part for advertising, media, video, audio, or other marketing purposes of Swillington ARLFC. I hereby confirm that I am of legal age (over 18) and have every right to contract in my own name. I have provided a picture of myself to be used as reference to assure my exclusion from any images used by Swillington ARLFC. I will notify photographers in my vicinity that I (or the child in my care) do not wish to be photographed. In signing this Form, I understand that Swillington ARLFC will make reasonable efforts to avoid access to, or remove, my image or voice for all purposes identified herein.

If you have any questions regarding the completion of this form please email us on swillington.arlfc@aol.co.uk
I am an:*

Adult (over 18), submitting for myselfAdult (over 18), submitting for a child (under 18) in my care
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number e.g. +447532348200
Childs Full Name*

First NameLast Name
Parent/Guardians Full Name*

First NameLast Name
Parent/Guardians Email*
example@example.com
Parent/Guardians Phone Number*
Please enter a valid phone number e.g. +447532348200
Reference photo for individual being opted-out*

Cancelof
Signature*

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