I, as
indicated below, authorize photographs and/or videotapes to be made of my son or
daughter during tournaments, games and/or practices.
It is understood that they will be for media relations, community, and
web use related to the Soccer Forces and organizations through which the team is
registered including, but not limited to, USYSA, its affiliate members and
clubs. This may include photos and
first name of child.
I give
consent that photographs or video images that may contain recognizable pictures
of my child may be used for publicity purposes.
I understand that neither the child not I will receive monetary
compensation for use of photos or video clips.
(Local newspaper photos and online player profiles and rosters may
require full names).
Player’s
Name ______________________________________________
Primary
Team ______________________________________________
Parent/guardian
name ________________________________________
Parent/guardian
signature _____________________________________
Date
_______________