Photo Consent Form

I , , the parent or official guardian of (insert child’s name)) , hereby grant permission to Florham Park Soccer Association representatives, to take and use photographs and/or digital images of my child for use in:

1. Media releases, media articles – including newspapers, radio, television – printed publications and/or educational materials
2. Electronic publications and communications such as the club’s Facebook site and website
3. I agree that my child’s name and identity may be revealed in descriptive text or commentary in connection with the image(s).
4. I authorize the use of these images without compensation to me. All negatives, prints, digital reproductions and shall be the property of Numurkah District Soccer Club.

Select the team to forward consent information to:
—Please choose an option—Intramural PlayerU9G Land SharksU10B FirestormU10B LightningU10G FlashU11G Soccer RockersU12B SweepersU12B StormU12G PanthersU13G PumasU14B AzzurriU14B StrikersU14G PrideU15B FuryU15G ThunderU18B StingU18G Hornets

By checking this box and clicking "Submit" I agree that I have read and agreed to the consent form policy

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