// PHOTO / VIDEO CONSENT FORM

Photo / Video Consent Form

I hereby authorize any images or video footage taken of my youth (under 18 years of age), in whole or in part, individually or in conjunction with other images and video footage, to be displayed on the United Youth Outreach Website and other official channels, and to be used for media purposes including promotional presentations and marketing campaigns. I also authorize the display and use of any media material created by my youth within United Youth Outreach.

I waive rights to privacy and compensation, which I may have in connection with such use of my youth’s name and likeness, including rights to be written copy that may be created in connection with video production, editing and promotion therewith.

I am over 19 years-of-age and the parent or legal guardian of the youth, and I have read this waiver and am familiar with its content.

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Phone:
1 (403) 717-0707 (calgary area)
1 (403) 717-0709 (fax)

Email:
office@unitedyouthoutreach.ca

Address:
#8 - 3530 11A St. NE
Calgary, AB, Canada
T2E 6M7

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