Freedom BC Photography & Video Permission Form

Parent/Guardian Name 1

First Name

Last Name

Parent/Guardian Name 2

First Name

Last Name

Please list the names and ages of ALL children in your household:

I DO give permission for my likeness to be used for promotional purposes, which includes but is not limited to Freedom BC website and social media pages.

YES

I DO NOT give permission for my likeness to be used for promotional purposes, which includes but is not limited to Freedom BC website and social media pages.