Photo Consent Form

Camp Kiah Photo Consent Form
We occasionally take photos and videos during programs to capture the positive moments, connection, and growth that occur at Camp Kiah. These images may be used for:
- Internal reporting and documentation
- Camper take home scrapbooks (these can include group photos)
- Promoting the program through our website, social media, and print materials
- Sharing updates with families and stakeholders
We understand the importance of privacy and safety, particularly for children in vulnerable circumstances. No identifying information (such as names or specific locations or indentifing clothing or features) will ever be shared publicly without additional written permission. Your decision will not affect your child's ability to participate in our programs.

Please indicate below whether you give permission for your child’s image to be used in this way. You can withdraw consent at any time by contacting us.
Young Person Details

(Participant details)
YPID
Young Person Name*

First NameLast Name
Date of Birth*

DayMonthYear
Legal Guardian Details
Legal Guardian Name*

First NameLast Name
Relationship to Young Person*
Legal Guardian Email*
example@example.com
As the legal guardian of {youngPerson26}, I*

DO give permission for Camp Kiah to take pictures of my child.DO NOT give permission for Camp Kiah to take pictures of my child.
I consent to photos of {youngPerson26} being used for

Camper take home scrap booksCamp Kiah social media platformsCamp Kiah website, mail outs or advertising
Signature*

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Name*
Legal Guardian
Date*

DayMonthYear
Should be Empty:

Camp Kiah Photo Consent Form

Young Person Details

Legal Guardian Details