Minor Photography Consent & Release Form for Filmberries Studio

Child's First name

Child's Last name

Parent's Full Name

Parent's Email

Parent's Phone Number

Known Allergies/Sensitivities/Special Requests

Name of the Birthday Child, Birthday Party Date and Location as indicated on your birthday invite.

ACKNOWLEDGEMENT OF RISKS AND CONSENT TO PARTICIPATE

I hereby acknowledge and accept the risks inherit in the requested activities and assume full responsibility for above mentioned child’s personal health, medical, dental and accident insurance.

I give my permission for above mentioned child to participate in Filmberries Studio Film Birthday Workshop, physical activities, off-site activities and intramural activities.

PARENT CONSENT AND PHOTO RELEASE FORM

I do consent and allow my child to be filmed, videotaped and/or photographed for use by Filmberries Studio, its partners and the media. I also allow my child’s work product to be featured by Filmberries Studio (this will include our projects, promotional materials on social media and website as well as various Film and Art Festivals). YOUR CHILD WILL BE ACTING IN THE SHORT FILM

I do consent and allow my child to be filmed, videotaped and/or photographed for use by Filmberries Studio for educational purposes only. I also allow my child’s work product to be featured by Filmberries Studio (this will include our projects, promotional materials shared with participating families only). YOUR CHILD WILL BE ACTING IN THE SHORT FILM.

I do NOT consent nor allow my child to be filmed, videotaped and/or photographed for use by Filmberries Studio, its partners and the media. I also do NOT allow my child’s work product to be featured by Filmberries Studio (this will include our projects, promotional materials on social media and website as well as various Film and Art Festivals). YOUR CHILD WILL NOT BE ACTING IN THE SHORT FILM

Today's Date

Year

Month

Day

Signature

Signature field is empty.

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