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Photo Release for Social Media

Photo Release

I, , hereby:

agree

disagree

to give The Cerebral Palsy Association of BC permission to use my photo or the photo of , for public relations purposes in the community.

This may include using the photo:

on the Association's social media platforms such as Instagram, Facebook, Twitter, and YouTube
in the Association’s quarterly publication, or other publications
in newspapers
in the Association’s brochures
on the Association’s portable display board, which may be used at resource fairs etc., in the community
in the Association’s videos
on the Association’s website
for fund raising

agree

disagree

to give The Cerebral Palsy Association of BC permission to tag the social media accounts as per the handles I have provided.

I am 18 years or older.

I am under 18 years and will have my parent / guardian sign this form.

Parent / Guardian Name:

By signing below, I certify all information is true and correct to the best of my knowledge.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

August 22, 2023 1:56 pm PDT

Photo Release for Social Media Uploaded by Denzil Muncherji - programs@bccerebralpalsy.com IP 23.16.74.222

August 30, 2023 11:01 am PDT

CPABC Information - info@bccerebralpalsy.com added by Denzil Muncherji - programs@bccerebralpalsy.com as a CC'd Recipient Ip: 23.16.74.222

August 30, 2023 11:02 am PDT

CPABC Information - info@bccerebralpalsy.com added by Denzil Muncherji - programs@bccerebralpalsy.com as a CC'd Recipient Ip: 23.16.74.222