BYL Media Consent Form

BYL 2026 Media Consent Form

Please complete this form to provide consent for the use of your child's image or information in youth sports publicity materials.
Participant's Full Name

First NameLast Name
Participant's Team/Coach
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Consent

MonthDayYear
Date
Parent/Guardian Signature
Should be Empty:

BYL 2026 Media Consent Form