Photo Consent Form - SAGA Empowerment Services

SAGA Empowerment Services Corp/photo/media consent form

Full Name

First

Last

Email Address

Consent video, Consent

Description of Study / Procedure

Consent Options

I have read and understood the information provided and I voluntarily agree to participate.
I understand that I can withdraw my consent at any time without penalty.
I consent to the collection and use of my data as described.
I consent to be contacted for future related studies.

PhotoMedia Description (type of photos, video, audio, or media coverage)

PhotoMedia Consent Options

I consent to be photographed or recorded (photo, video, audio) during this activity or event.
I consent to the use of my image, voice, and likeness in printed and digital PhotoMedia materials (including websites and social media).
I understand that PhotoMedia may be edited, copied, exhibited, published, or distributed for lawful purposes.
I understand that I will not receive payment or royalty for the use of PhotoMedia in which I appear.
I understand that I may withdraw PhotoMedia consent in writing for future use, where reasonably possible.