Rugby Club Social Media Waiver
Consent form for use of photos, videos, and names on social media and club promotional materials.
Member's Full Name
*
First Name
Last Name
Parent/Guardian Full Name
*
First Name
Last Name
Member's Age
*
Consent for Use of Photos, Videos, and Names
*
I consent to the use of my/my child's photos, videos, and name on the Rugby Club's social media and promotional materials.
Date of Consent
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Member Signature
*
Parent/Guardian Signature
*
Submit Consent
Submit Consent
Should be Empty: