Photo Release Form (Embro Minor Hockey)

Photo Release Form

This EMHA form is mandatory for all players. Please fill out the form below to state your preferences. One form may be filled out per family, please list all players below.

Parent/Guardian Information

Parent/Guardian Name:^*

Required

First and last name

Parent/Guardian Phone Number:^*

Required

Example: ###-###-####

Parent/Guardian Email:^*

Required

Example: [email protected]

Player Information

Player #1 Name:^*

Required

First and last name

Player #1 Team:^*

Required

Player #2 Name:

First and last name

Player #2 Team:

Player #3 Name:

First and last name

Player #3 Team:

Player #4 Name:

First and last name

Player #4 Team:

Photo Release

By submitting this form I/We, the undersigned, grant permission to the Embro Minor Hockey Association (EMHA) to publish, copyright, distribute and/or display photographic or videographic images of my hockey player son/daughter for publication in brochures, magazines, newspapers, presentations, websites and multimedia productions. Such images may be reproduced electronically, alone or in composites. I/We am also aware that individual or group photos that include my child that is submitted by another parent may be posted on the EMHA website anytime during the hockey season. These images are for the purposes of illustrating the game of hockey and development of related activities, and may be used by EMHA or its assigns. These images are not for sale and will be used only by EMHA or other agencies working with EMHA

I, the parent/guardian, of the hockey player son/daughter stated above; ^*

Required

Photo Release Form (Embro Minor Hockey)

OMHA Digital Network

Parent/Guardian Information

Player Information

Photo Release

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