Consent

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

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

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

*indicates required field

Full name of person completing this form *

Email address *

Athlete's/Participant's name *

Jersey number *

Team *

Athlete's/Participant's Instagram name

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

By signing below, I hereby grant permission to Andrea Evensen (Swell Shots) (hereafter “Swell Shots”) to take and use photos, videos, content, name, and likeness of me/my child for the following purposes, including the right to grant sublicenses to any and all of said rights, without any compensation, royalties, or review: website viewing, printing, and downloading; publication in print and digital formats; social media (incl. tagging), Internet, and other electronic platform use; and any and all commercial and promotional use, and further hereby acknowledge and agree that all pictures, videos, and content produced by Swell Shots and its sublicensees, including all copyrights and other intellectual property, are the sole and exclusive property of Swell Shots. I understand that this electronic consent and signature are legally binding and carry the same force and effect as a handwritten signature. My consent and agreement are evinced by my typewritten signature, below *

Today's date *

I hereby provide consent as stated above.

Thank you for submitting your consent.

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