2024 Photo/Marketing Consent Form

Photo/Marketing Consent Form/Release
(You must be logged in to your
Darchei Noam account to complete this form)
email Nancy or Emily if you need help logging in to your account
*fyi - this form is best completed on a pc/mac/laptop rather than a mobile phone

While our preference at Darchei Noam is to have every member family complete a photo release form, If a form is not completed, Darchei Noam will take this as your approval for all photos of all family members to be used for any/all communications & marketing purposes. Thank you for your understanding.

First Name of Person Completing Form

First & Last name of Adult #1

Last Name of Person Completing Form

Last name of person completing this form

* Email Address

(for confirmation of receipt)

Photo/Video Authorization (aka Darchei Noam Photo Release)

Pictures of our members and member's children (particularly during Shul School, Teen Chayim and child/family events) happen during the year by our staff and volunteers for multiple purposes for both internal and external communications/marketing. This can include Darchei Noam marketing materials/brochures, newsletters, synagogue website, social media (Facebook, Instagram, YouTube, etc), newspaper articles, Exponent advertisements and/or educational materials.

Please indicate all members of your family below and indicate whether that individual has permission to be in pictures/videos. Please note that this choice will remain in place 2024 and beyond until we receive a change in writing.

*disclaimer: identification of individuals in photos is done manually. If you decline permission, but see a photo of you or your child, please contact the Communications & Marketing Director asap so it can be removed.

I am submitting the following form on behalf of:

* Check any box below that applies:

My Entire Family (All Adults and Children)Adults onlyMy childrenAn individual memberPlease list the names of all members on your account (below) or those who you are changing permission for.

Adult #1

First & Last name of Adult #1

* Please choose (pick from dropdown):

Photo Release Choice for Adult #1

Upload a Picture - Family or Adult #1

.jpg, .jpeg, .png
*used for internal identification purposes only
Entire family or upload one for each individual. Please identify each person in the picture.

Adult #2

First & Last Name of Adult #2

Please Choose from Drop Down - Adult #2

Upload a Picture - Adult #2

Upload a picture of Adult #2
*internal identification purposes only

Child #1

First Name & Last Name of Child #1

Please Choose from Drop Down - Child #1

.jpg, .jpeg, or .png
*used for internal identification purposes only

Upload a Picture of Child #1

.jpg, .jpeg, or .png
*used for internal identification purposes only

Child #2

First & Last Name of Child #2

Please Choose from Drop Down - Child #2

Upload a Picture of Child #2

.jpg, .jpeg, or .png
*for internal identification only

Child #3

First & Last Name of Child #3

Please Choose from Drop Down - Child #3

Upload a Picture of Child #3

More than 2 adults or 3 children on your account?

If you have more than 2 adults or 4 children on your account who should be blocked in photos, please add the names here and whether they have permission.

Please review the form above:
1. List all of the names of your family on your account (or person you are updating).
2. One form per account.
3.. Ensure every family member has a photo permission status
4. Upload a photo of any person listed as "DO NOT USE"
5. Added Bonus: Let us know if you would like your family photo uploaded to the Directory

If you have issues with this form or uploading photos, please email NANCY BOLTON - nancy@darcheipa.org.

Additional Information You Would Like to Share?

Please add any additional information you would like to tell us or which you think would be helpful if we know (confidential)

* I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature

By checking this box and typing my name below, I am electronically signing this form

This consent form will remain in effect as long as you are a member. If any information should change, please fill out another form to update your consent.

* Member Signature

Adding your first and last name will be considered an "electronic" signature

* Date

Parent/Guardian Signature

Please complete this field if you are answering questions on behalf of a child.This is an "electronic" signature. Type in your name on the form. Please complete this line if you are

Date

Sun, April 28 2024 20 Nisan 5784