Welcome to my Withdrawal of consent of content usage form for Adults (18+) & Minor (Under 18)

If you want to fill out forms for more then one adult or minor please fill each one out one by one

Withdrawal of consent of content usage form for Adults (18+)

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Withdrawal of Consent Form

Adult Information:

Name *

Middle Name

Surname *

Email Address *We use your email if we need to contect you. See our Privacy Policy for details.

Phone *We ask for your phone number in case we need to contact you. See our Privacy Policy for details.

Date of BirthTo check why we ask for your birthday check our Privacy Policy.

Month

Day

Year

Withdrawal Details:

I now wish to withdraw my consent for any future use of my image(s).Please indicate what you would like to happen:

Consent *

Yes, I agree with the privacy policy and terms and conditions. By agreeing to this, you withdraw your consent to be photographed and possibly your image to be removed (depending on your selection). And you are 18 years or over.

Confirmation

You will receive an email confirming that your request has been received and the materials have been removed within 5 business days.

Withdrawal of consent of content usage form for Minor (Under 18)

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Withdrawal of Consent Form

Parent/Guardian Information:

Name *

Middle Name

Surname *

Email Address *We use your email if we need to contect you. See our Privacy Policy for details.

Phone *We ask for your phone number in case we need to contact you. See our Privacy Policy for details.

Date of BirthTo check why we ask for your birthday check our Privacy Policy.

Month

Day

Year

Child’s Information:

Name *

Middle Name

Surname *

Date of BirthTo check why we ask for your birthday check our Privacy Policy.

Month

Day

Year

What year is your child / children in *0 / 50

Withdrawal Details:

I now wish to withdraw my consent for any future use of my child’s images.Please indicate what you would like to happen:

Consent *

Yes, I agree with the privacy policy and terms and conditions. By agreeing to this, you withdraw your consent to be photographed and possibly your image to be removed (depend depending on your selection). And you are 18 years or over. and are legally allowed to act on behalf of this child. If you change your mind, please resubmit a permission form.