MOBILE WHINNIES, INC.

PHOTO RELEASE FOR PARENT/GUARDIAN

Participant's First Name *

Participant's Last Name *

I, as guardian, consent to and authorize the use of photo or other audio/visual material taken of me/my child/or person for which I am guardian to be used in both electronic and print media (such as newsletters, brochures, videos, social media posts, etc) by Mobile Whinnies, Inc. in effort to demonstrate the activities through which our nonprofit serves the community. I give all rights of the photograph or other audio/visual material to Mobile Whinnies, Inc. for its promotional and educational use. If I do not wish to have photos taken that is entirely fine and I will inform the instructor and can opt-out of this form. *

I have read and acknowledge the statement above.

Parent/Guardian Full Name

Date

I have read and fully understand this photo release. I opt-in and consent as parent/guardian to this photo release by signing this form. My digital signature is legally binding. *

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