Fundraising Event Filming Consent Form
Please provide your consent to be filmed and for the use of your footage during the fundraising event.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Event Name
*
Event Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Your Role at the Event
*
Please Select
Attendee
Volunteer
Performer/Speaker
Organizer
Vendor
Other
Filming Consent Agreement
*
Please specify any restrictions or comments regarding your consent (optional)
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
*
Date of Consent
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Consent
Submit Consent
Should be Empty: