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Photo/Media Consent Form

Purpose

A template to obtain clear permission for using images, especially of local people and minors.

Subject information

Name or description of subject: _________

Location or community: _________

Date of photo/video: _________

I consent to the use of my photo/video for donor communications, newsletters, and social media updates by the ministry described below.

Ministry name: _________

Primary contact: _________

Permission details

I understand that the image may be used for the following purposes:

-

I understand that my name and identifying details will not be used without my permission.

If I am a minor, I also consent with the permission of my parent or guardian.

Signature: _________

Name: _________

Date: _________

Witness or ministry representative: _________

Signature: _________

Date: _________

Notes

  • Do not use this form in place of local legal advice.
  • Keep all consent forms on file and available for review.
  • If the subject is a minor, always obtain guardian permission.