Burrton Adventure Friday
Photo Release Form for Minors
Name of the Event
Location of Event
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Authorization and Release Agreement
I allow Burrton Adventure Friday's to take or capture photos of my child.
I authorize Burrton Adventure Friday to distribute, reproduce, for the following purposes: Portfolio showcase, advertising, marketing, branding, digital promotions, educational media. other commercial or non-commercial purposes
I grant Burrton Adventure Friday to use my photos on Facebook, Twitter, Instagram, and other social media platforms.
I understand that my child will not receive any monetary compensation.
I do not permit Burrton Adventure Friday to use these materials for social media.
I release Burrton Adventure Friday from all liability and obligations from any claim for injury, illnesses, claims, or demands.
I/We, the undersigned, hereby agree that we have read this agreement and bounded by it.
Parent/Guardian Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: