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*

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Date Signed

MonthDayYear
Date
I understand that photos/videos may appear on social media, website, or promotional materials
Should be Empty:

1. Youth Information: