Staff Photo and Video Release

Section 1: Participant Information

Purpose of the Release Children’s Choice occasionally takes photographs and videos during programs, events, and activities. These images may be used to promote our programs and share our mission through social media, websites, newsletters, printed materials, and other communication channels. Please complete this form to grant or withhold permission for the use of your image.

Participant First Name: *

Participant Last Name: *

Program/Site:

Phone Number:

Email:

Section 3: Consent Options

Please select one: *

I DO give permission to Children’s Choice to photograph, record, and use my image, voice, and likeness for organizational purposes, including staff recognition, training, promotion, and communication materials.

I DO NOT give permission to Children’s Choice to use my image, voice, or likeness in any form of media.

Section 5: Acknowledgment and Release

By signing below, I understand and agree that: All photographs, video, and audio recordings are the property of Children’s Choice and may be edited, copied, or distributed for lawful purposes. I release Children’s Choice, its employees, volunteers, and affiliates from any claims or liability arising from the use of such materials. No royalty, fee, or other compensation shall become payable to me for such use.

Signature *

Date

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