Minor Photography Consent Form Consent for Photography: I, the undersigned parent/legal guardian of the minor listed above, hereby grant permission for Fulton County Juvenile Court or its designee to take and use photographs, videos, or other visual media of my child. This consent includes the use of these images or videos for: Marketing, promotional materials, or social media. Educational purposes, including but not limited to presentations, websites, and publications. Press releases or media publications. Any other lawful purposes as determined by Fulton County Juvenile Court. Release of Liability: I understand that these images may be used in various formats, including but not limited to print, online, or digital media, and I waive any right to inspect or approve the finished product before it is published. I also understand that Fulton County Juvenile Court is not responsible for any unintended consequences of how these images are used once they have been published in the approved manner listed in this release. Confidentiality: I understand that Fulton County Juvenile Court will take reasonable measures to protect the privacy of my child and will only use images in appropriate and respectful ways. No personal information, other than the child’s name, will be disclosed in any images used. Acknowledgment of Voluntary Participation: I acknowledge that I am not being compensated for the use of my child’s image, and participation in photography is voluntary. I understand that I have the right to revoke this consent at any time by notifying Fulton County Juvenile Court in writing; however, I understand that revocation will not affect any uses of images made before receiving notice of revocation. Parent/Guardian Information Name of Parent/Guardian * Name of Parent/Guardian First Name First Name Last Name Last Name Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Address Email Address * Phone Number * Relationship to Child * Minor Participant Information Name of Minor * Name of Minor First Name First Name Last Name Last Name Date of Birth * Consent and Signature By signing below, I confirm that I have read and understood the above consent and release form. I voluntarily agree to the terms outlined herein and provide my consent for my child to be photographed. Signature * signature keyboard Clear Date of Agreement * Submit If you are human, leave this field blank. Δ