Media Consent Form – Child/Youth Media Consent Form – Child/Youth Any photographs or video productions taken of children or youth by agency staff at recreational events or match outings, or otherwise authorized by the Executive Director or Board of Directors, may be used by the agency for purposes of promotional material including brochures, posters, newsletters, media information, advertisements, audio-visual productions and web pages, such as the Agency website and social media. Photographs or video productions may also be shared with community and school partners for program promotion.* I consent to having my child’s photo used I do not consent to having my child’s photo used Child Name* First Last Parent/Guardian* First Last Date* MM slash DD slash YYYY Note: It is the parent/guardian’s responsibility to notify the office if the status of this consent changes. Facebook Twitter Google+ LinkedIn
