If you are under 18 years old, a parental guardian must sign this form for photo and video consent.
I AM INFORMED BY the Jane/Finch Community and Family Centre that it wishes to photograph me and that it would like to use the photograph(s) in promotional material, multimedia (such as television and the press), film, video, CD-Rom (compact disk read-only memory), DVD (digital video disk), and/or may appear on the Internet linked to the Jane/Finch Community and Family Centre’s Website.
I UNDERSTAND THAT the Internet is not a secure medium; that any material posted on the Internet is accessible to anyone with a computer and Internet connection AND THAT while the Centre has made every effort to secure its Web site, it cannot absolutely guarantee privacy or control the access to its Web site.
I, the undersigned, HEREBY CONSENT to be photographed and I AUTHORIZE the Jane/Finch Community and Family Centre, its employees, agents, or authorized representatives to use, reproduce, publish, transmit, distribute and display the said photograph(s) in any publication, multimedia production, film, video, CD-Rom, DVD, display, advertisement, Web site or other material for promotional purposes.
I am the parent or legal guardian of the individual named to which this form applies and for whom I am giving this consent. I have legal authority to represent and bind the individual named. The individual named is a resident of Ontario. I have read this form after it was completed, I give this consent voluntarily on behalf of the individual named and I understand and agree to be bound by its contents.