Photo Consent Form

Member Name 1 *

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Last

Member Name 2

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Last

Child's Name 1

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Last

Child's Name 2

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Last

Child's Name 3

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Last

Child's Name 4

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Last

Photo Release Consent

I agree to allow use of my family member image(s) which may be captured through video, photo, digital camera or other media, for Fairbrae Swim and Racquet Club promotional materials and publications. Images may be shared on social media platforms (Google, Yelp, etc) at special events outside of the club in addition to this website. By my digital signature below, I acknowledge that I understand this statement.

Digital Signature

By typing my name in the box following this I understand that it is my digital signature giving consent.

Member/Parent Name *

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Last

Email *