Consent & waiver, classic form

Photo and video consent template

A parent photo consent with a yes or no grid per use, naming choice, duration, safety concerns and a guardian signature.

9 questions, 8 required, as a classic form

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The Photo and video consent template as a respondent sees it, top of the form

Every question

  1. Child's name (required)

    Full name

  2. Room (required)

    Dropdown: [Room 1] (0 to 2), [Room 2] (2 to 3), [Room 3] (3 to 4), [Room 4] (kindergarten)

  3. May a photo or short video of your child appear in: (required)

    Rating grid

  4. If a photo is used, may your child's first name appear with it? (required)

    Single choice: Yes, first name only, No, no name at all

  5. How long should this consent last? (required)

    Single choice: Until the end of this year, Until my child leaves the centre

  6. Safety concerns the director should know about

    Long answer

  7. Parent or guardian name (required)

    Full name

  8. Relationship to the child (required)

    Single choice: Parent, Guardian, Kinship carer

  9. Signature (required)

    Signature

What you fill in

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