Orange County NC Website
Orange County SportsPlex Photo Release Form <br /> <br />I understand that the Orange County SportsPlex may take photos and/or videos of it ’s program’s and <br />participants during program activities and events for use in promotional materials in print, multimedia, <br />or web form. Photos/videos will only be used for purposes relating to the Orange County SportsPlex. <br />Please check the correct box below as to whether you do wish or do not wish to grant Orange County <br />SportsPlex permission to use your (or your child’ s) photos/videos taken during a program. Additionally, <br />please complete the information below and sign this form in verification of your permission regarding <br />Orange County SportsPlex’s use of your (or your child’s) photos/videos. <br />Please check one of the following: <br />☐ I DO grant permission for the use of my (or my child’s) photo/video. <br />☐ I DO NOT grant permission for the use of my (or my child’s) photo/video. <br />Name (or child’s name) ______________________________________________________ <br /> Guardian Name (if child under 18) _____________________________________________ <br /> Phone ___________________________________________________________________ <br /> Email ____________________________________________________________________ <br />Address __________________________________________________________________ <br />Signature _____________________________________ <br /> Date _______________________ <br />Docusign Envelope ID: 177AA06A-30B4-42FF-A85A-78B5A7C51DBE