Minor Photo Release Form - PDF Templates

Monday, February 24, 2025

Photo and Video Consent Release Form

Minor Consent Form (under 18)

Printed Name of Parent or Official Guardian:

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Printed Name of Child (under 18):

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I parent or official guardian of hereby grant permission to ASCE, its Sections, Branches, Institutes, directors, officers, employees or representatives, to take and use: photographs, videotape and/or digital images of my child for use in promotional or educational materials as follows: printed publications or materials, electronic publications or presentations, websites. I agree that my child’s name and identity:

in descriptive text or commentary in connection with the image(s). I authorize the use of these images indefinitely without compensation to me. All negatives, positives, prints, digital reproductions and videotape shall be the property of ASCE.

Address

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Date

Sunday, December 25, 1977