PHOTO + VIDEO CONSENT FORM

The Village Collective

Thank you for being part of a gathering or session at The Village Collective. From time to time, we capture photographs and short videos during our events and offerings to celebrate the beautiful moments shared, promote our services, and help other local families discover the support available at The Village Collective.

We are committed to using all images respectfully and thoughtfully, and always in line with your preferences.

Consent Details

Please read and indicate your agreement below:

Consent Details

From time to time, The Village Collective may capture photos or videos during sessions or events to share the work we do and promote community connection. Images are used respectfully and may appear on our website, social media, or printed materials. Consent can be withdrawn at any time in writing.

I give permission for photos/videos of myself and my child/children to be taken and used for promotional purposes.

I give permission for photos/videos to be taken and used, but please do not show my baby/child’s face.

I do not give permission for any photos/videos to be taken or used.

Parent/Guardian Information

First Name

Last Name

Phone

(###)

###

####

Child’s Name:

First Name

Last Name

Child's Date of Birth:

YYYY

By typing your full name below, you confirm that:

• You have read and understood the above information • You consent (or do not consent) to photo/video use as indicated • You understand this consent is entirely optional and can be withdrawn at any time