PARENT CONSENT FORM
For remembrance photography services provided by the volunteer photographer, Joan Leong. By filling up this form, you agree to engage the photographer for the services mentioned and acknowledge the terms below.
Email *
Full Name of Child(ren) *
Date of Delivery: *
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Full Name of Parent(s) *
Phone(s) *
Home Address *
Hospital Name *
Session Date *
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Hospital: I understand the hospital is not affiliated with the Photographer. *
Authorisation to Photograph: I am the parent and legal guardian of my child(ren) listed, have the authority to enter into this agreement, and authorise the Photographer to photograph my child(ren). *
Copyright: The copyright of the images belong to me. I understand that the images I receive may not be used for commercial use, public media, or promotions of other nonprofits or causes without my specific written permission. *
Standard Gift (1): I understand that the Photographer provides the free gift of professional quality portraiture. Digital images will be professionally retouched in black and white or sepia tones to create an heirloom quality portrait. I understand I will receive a digital set of images within 6-8 weeks. *
Standard Gift (2): I understand that the Photographer will not provide the originals, non-retouched, or colour images per volunteer policies and guidelines. I understand that it is recommended to take my own pictures during and after the session. *
File: I understand this form will be maintained by the Photographer in a secured manner. *
Release: I release and forever discharge the Photographer, the hospital and their agents, employees, officers, directors, and representatives from all past, present, and future legal claims, actions, causes of action, damages, costs, and expenses that in any way grow out of, or are related to, the taking of photographs and their use of photographs and their use by the Photographer. *
Indemnification: If any person not signing this form brings a claim against the Photographer that is related to the photography of my child(ren), the release matters set forth above, or the use of the photographs thereafter, I will indemnify and save and hold the Photographer harmless from any damages incurred as a result of those claims. *
Photographer Use of Images Permitted: I permit the digital images and photographs of my child(ren) to be used by the Photographer for volunteer training, hospital education, and marketing. For such usage, the Photographer may make additional copies of the photographs without my prior approval. *
A copy of your responses will be emailed to the address you provided.
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