Urban Youth Conservation Photo Release Form

Urban Youth Conservation Photo Release Form

This form grants permission for Urban Youth Conservation to take and use their photographs or videos for educational, promotional, or social media purposes.
1. Youth Information:
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
2. Parent/Guardian Information:
Full Name
Relationship to Youth
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
I, the parent/guardian, give permission for my child’s photos/videos to be taken and used by Urban Youth Conservation.
Signature of Releasor
Date Signed

MonthDayYear
Date
Should be Empty:

1. Youth Information: