Blood Donation Photo Release Form
Please complete this form to provide your permission for photo and video use during the blood donation event. Your information will remain confidential and is used solely for event documentation purposes.
Participant 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
Date
Photo/Video Release Consent
*
I grant permission to use my image and likeness in photos and videos taken at this event for promotional and documentation purposes.
I do NOT grant permission for my image and likeness to be used.
Signature
*
Today's Date
*
-
Month
-
Day
Year
Date
Event Organizer Contact Information: For any questions about this release, please contact the event organizer at organizer@email.com or (555) 123-4567.
Additional Comments (optional)
Submit
Submit
Should be Empty: