Gym Photo Release Form

Member’s Name: *

Member’s Date of Birth: *

Please tick the relevant boxes:

I give permission for my photograph to be used within the club for display purposes I give permission for my photograph to be used within other printed publications I give permission for my photograph to be used on the clubs website I give permission to be videoed for use on the clubs website I give permission for my photograph to be used on the clubs social media pages I give permission to be videoed for use on the clubs social media pages I can confirm that I have read or been made aware of how these images or videos will be stored within the organisation

Signature: *

Tap or click on the signature above to sign