Team Building Media Consent Form
Please complete this form to provide your consent for media (photo, video, audio) capture and usage during the team-building 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
Participant
Team Leader
Organizer
Guest
Other
Media Permissions (select all you consent to)
*
Photographs
Video Recordings
Audio Recordings
List any restrictions or limitations on media use (optional)
Additional Comments (optional)
Signature
*
Submit Consent
Submit Consent
Should be Empty: