Publication Consent Form for Children

I hereby give permission to the Rocky Point Club to post photos taken of my child to the Rocky Point Website, Private RPC Facebook page, Rocky Point bulletin board located at Rocky Point and the Rocky Pointer newsletter.

The Rocky Point photo site is exclusively used by RPC Members and has password control. These photos will not be used for commercial purposes.

Date

YYYY

Membership Number

Photo Consent

Yes

Name(s) of Children

Name of Member

If subject is a minor, the parent or guardian is required to complete the following: I hereby represent that I am the parent/legal guardian of the minor named above.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Signature