Photo Release
Form
Dear
Parents,
The
Jr. Chief’s has a web site, www.hopatcongjrchiefs.org.
This site features the monthly calendar, details from meetings, important
announcements and contact information. We would like to celebrate the
wrestler’s achievements by posting pictures on our web site, in newsletters,
banquet slide show, news publications, etc.
We
would like to feature our wrestlers participating in matches, tournaments and
club activities. Your consent is required for your child to be included in any
of the pictures. The material will not be used for any commercial purposes and
no payments will be made to the participants.
Please mark an X on the line below.
_____ I give
consent for my child to be included in any pictures taken. I know that they will
not be used for any commercial purposes and will be used solely for displaying
the dimensions of the program.
_____ I do not
consent for my child to be included in any pictures. I understand that he/she
will continue in the activities and remain out of the camera view during any
photograph/ video sessions.
Child’s Name:
____________________________________
Parent or
Guardian printed name: _________________________________________________Print
Name
Parent or
Guardian Signature: _________________________________________________
Date:
____________________