consent – Omega Psi Phi Fraternity, Inc.

Well Prepared Program - Photo/Video Consent

Omega Psi Phi Fraternity, Inc. recognises the need to ensure the welfare and safety of all young people taking part in any activity associated with our organization.

In accordance with our child protection policy we will not permit photographs, video or other images of young people to be taken without the consent of the parents/carers and children. As your child will be taking part in workshops/activities/events we would like to ask for your consent to take photographs/videos of the event or activity that may contain images of your child. It is likely that these images may be used as
- a record of the activity or the event
- in a written evaluation report of the activity or event that will be viewed by Omega Psi Phi Fraternity, Inc.
- publicity material for further activities or events on leaflets/websites/magazines
- illustrations of the activities or events in published articles
- future grant applications
Omega Psi Phi Fraternity, Inc. will take all steps to ensure these images are used solely for the purposes they are intended. If you become aware that these images are being used inappropriately you should inform us immediately.

We would be grateful if you would return this form by the date of your initial meeting
Parent/Legal Guardian
First Last
Child (ren) Name*
First Name Middle Initial Last Name Gender Age
Chapter
Select the chapter your child is participating with
I consent to Omega Psi Phi Fraternity Inc., photographing or videoing
- Yes
- No

First Name	Middle Initial	Last Name	Gender	Age