Photo Release Form for Minors
Activity Date
*
-
Month
-
Day
Year
Date
Name of the Event
*
Minor/Child Details
Minor/Child Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Age
*
Parent/Guardian Details
Parent/Guardian Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Photographer's Name
*
First Name
Last Name
Would you like to reveal the identity of the minor/child?
*
Yes
No
Authorization and Release Agreement
Occasionally, ONPARA, the press, and other organizations request permission to take photographs and/or video for ONPARA publicity, fundraising and/or website purposes. I agree to photographs and/or video being used for the above purposes on an ongoing basis. Should I no longer wish to have the photographs and/or videotapes used for publicity, fundraising and/or the ONPARA website, I will contact ONPARA in writing stating my wish to limit or void this consent.
*
I allow Ontario Para Network (ONPARA) to take or capture photos of my child/children mentioned above
I understand that all photos that will be taken are copyrighted by ONPARA.
I authorize ONPARA to distribute, reproduce, for the following purposes: Portfolio showcase, advertising, marketing, branding, digital promotions, educational media. other commercial or non-commercial purposes
I grant ONPARA to use my photos on Facebook, Twitter, Instagram, and other social media platforms.
I undersigned, hereby agree that I have read this agreement and bounded by it.
Parent/Guardian Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: