Photo & Media Usage Permission Form (Adult & Child)

Photo & Media Usage Permission Form (Adult)

If you have filled in and/or signed another contract, filling out this form may not be necessary.

Name *

Middle Name

Surname *

Date of Birth *

Day

Month

Year

Consent Options: *I give permission for photographs and/or videos of me to be used for: My official website, social media platforms, ECT.I do not give permission for any images or videos of me to be used.Conditional permission: (Please specify and/or select the right option.

Conditional permission:Website (elan-levy.com)Social mediaFor promotional and commercial useUse my image and/or videos in printed brochures, leaflets and exabitions.Other

Do you want your name or credit along side the media posted? *No I don’t mind my name being posted (Frist name + Surname)Yes I mind my name being posted (Your name wont be posted anywhere for credit or recognition)Other

What project/topic is this referring to:

Photo & Media Usage Permission Form (Child)

If you have filled in and/or signed another contract, filling out this form may not be necessary. (Please make sure that you are able to act on behalf of the child before starting this form)

Parent / Guardian information:

Name *

Middle Name

Surname *

Date of Birth *To check why we ask for your birthday check our Privacy Policy.

Day

Month

Year

Child's information:

Name *

Middle Name

Surname *

Date of Birth *To check why we ask for your child’s birthday check our Privacy Policy.

Day

Month

Year

Consent Options: *I give permission for my child’s photographs and/or videos of me to be used for: My official website, social media platforms, ECT.I do not give permission for any of my child’s images or videos of me to be used.Conditional permission: (Please specify and/or select the right option.

Conditional permission:Website (elan-levy.com)Social mediaFor promotional and commercial useUse my image and/or videos in printed brochures, leaflets and exabitions.Other

Do you want your child's name or credit along side the media posted? *No I don’t mind my child’s name being posted (Frist name + Surname)Yes I mind my child’s name being posted (Your name wont be posted anywhere for credit or recognition)Other

What project/topic is this referring to:

Submit your testimonial

Name *

Middle Name

Surname *

Testimonial: *Thank you for your testimonial

Where are you based:

Welcome to my Photo & Media Usage Permission 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

Photo & Media Usage Permission Form (Adult) (18+)