Photo Permission Slip – Grantown Swim Club

Parent/Guardian's Name *

First

Last

Email *

Child(ren)’s Name(s) (PLEASE PRINT IN CAPITALS) *

Photo Permission *

YES. I grant permission to use photos of my child on Grantown Swim Club website or bulletin boards.
NO. Please do NOT take or use any photos of my child.

Parent/Guardian’s Signature (PLEASE PRINT IN CAPITALS) *

Signed *

Click this checkbox to agree to the above printed name being used in place of signature

For questions or concerns about this form, please feel free to contact a member of the club committee .