Consent

Please complete the form, below, providing consent. The form should be completed by:

(A) The parent / legal guardian of the athlete, if the athlete is 17 years of age or younger, or

(B) The athlete, if the athlete is 18 years of age or older.

Full name of person completing this form *

Email address *

Athlete's name *

Jersey number *

Team *

Your relationship to the athlete: State if you are the parent / legal guardian of the athlete or the athlete completing this form. ATHLETES MAY ONLY COMPLETE THE FORM IF THEY ARE 18 YEARS OF AGE OR OLDER. *

I hereby grant permission to Andrea Evensen (Swell Shots) to take and use photos/videos of me/my child for the following purposes without any compensation or review: website viewing, printing, and downloading; publication in print and digital formats; social media, Internet, and other electronic platform use; and promotional material use. An electronic consent is binding in the same manner as a handwritten signature. My consent is evinced by my typewritten signature, below *

I hereby provide consent as stated above.

Thank you for submitting your consent.

↑Back to Top