PHOTO RELEASE

Photo Release for Downtown Carleton Place BIA

Name(Required)

Participant over 18 – or – If participant is under 18, Parent/Guardian Name

First Last

Participant IF under 18

If participant is under 18 years of age use this field instead of the one above.

First Last

Participant IF under 18

If participant is under 18 years of age use this field instead of the one above.

First Last

Participant IF under 18

If participant is under 18 years of age use this field instead of the one above.

First Last

Email – only used to verify any future requests(Required)

Your email address will only be used in connection with this photo release and will not be used for marketing purposes or shared with our partners for marketing communications.

Phone

PERMISSION – CHECK ALL THAT APPLY

Please use the boxes below to indicate your consent for each of the following uses of your (or your child’s/children’s) image and/or video.

Social Media & Digital Marketing – I authorize the Downtown Carleton Place BIA to use my (or my child’s) image and/or video on its social media channels, website, e-newsletters, digital advertising, and other online promotional materials.

Print & Promotional Materials – I authorize the Downtown Carleton Place BIA to use my (or my child’s) image and/or video in printed materials, including brochures, posters, event guides, advertisements, annual reports, and other promotional publications.

Community & Municipal Partners – I authorize the Downtown Carleton Place BIA to share my (or my child’s) image and/or video with community partners, including the Town of Carleton Place and Carleton Place Tourism, for the purpose of promoting Downtown Carleton Place, its businesses, events, and initiatives.

Name Identification – I authorize the Downtown Carleton Place BIA to identify me (or my child) by first name only in connection with approved images or videos.

Date

Signature

Over 18 years – or – parent/guardian