Child Photo Consent Form Template – US

Photo Release Authorization

The information provided is intended solely as a general example for parental consent regarding the use of children’s photographs. It does not constitute legal advice and should not be relied upon as a substitute for consulting a qualified attorney experienced in privacy, media, or child rights law. Laws and regulations may vary depending on the jurisdiction, and adjustments may be required to ensure compliance with local legal requirements. The use of this example is at the user’s own risk, and we assume no liability for any errors, omissions, or consequences arising from its use without professional legal review.

Please note: This is a sample Child Photo Consent Form template for the United States, provided for illustrative purposes only. Actual terms may vary based on specific needs and applicable laws.

Child Photo Consent Form Sample

Child and Parent/Legal Guardian Details:

Child’s Name: _____________________________
Date of Birth: _____________________________

Parent/Guardian Name: _____________________________
Contact Number: _____________________________
Email Address: _____________________________

Purpose of Photograph Use:

The photographs of the child may be used for promotional, educational, or other lawful purposes by the organization, including but not limited to print, online, and social media platforms.

Consent:

I, the undersigned parent or legal guardian, give my permission for the organization to photograph and use images of the child named above as described. I understand that the images may be used in various media and agree to waive any right to inspect or approve the final product.

Additional Terms:

• The parent/guardian affirms that the child is under their legal care and has the authority to give this consent.
• This consent is valid until revoked in writing by the parent/guardian.
• The organization will take reasonable steps to protect the child’s privacy and safety.

Location: ______________________ Date: ______________________