Photographic consent form

by ashley

PHOTO CONSENT FORM

(Company) takes photographs or video film for publicity purposes. These images may appear in our printed publications, on our website, or both. We may also send them to the news media.

Before taking any pictures, we need your permission. Please answer questions 1 and 2 below, then sign and date the form where shown.

Please circle Yes or No

1 May we use your image(s), those of your child(ren) if under 18, or those of your pet in publicity material produced by (Company), including printed publications, videos and our website?

Yes / No

2 We regularly send publicity material about our services, including photographs where appropriate, to the news media, especially the local press. Can (Company) use your photograph, your child’s, or your pets in this way?

Yes / No

Please note that websites can be viewed throughout the world, not just in the United Kingdom where UK law applies. This form is valid for five years from the date of signing.

Signature:……………………………. Date:…………….…………………………

Please print your name in capitals (and your child’s name, if under 18, and pets name / breed if appropriate):

Your Name ………………………………………………………………………
Child’s name..……………………………………………………………………
Child’s name..……………………………………………………………………
Pets Name…………………………………Breed……….………………………
Pets Name…………………………………Breed……….………………………
……………………………………………………………………………………
Photographer’s name: ………………..…………………..…………………..…
Event and location: ………………..……………………………….……………
Contact details for person photographed (if needed): ………..………………..… ………………..…………………..…………………..…………..……………… ..…………………..…………………..…………………..…………………..…