Contact Name *

First Name

Last Name

Child's Name *

First Name

Last Name

Permissions *

I grant Lucy Sellers permission to take photographs and / or video of my child. I grant www.lucysellers.com full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group’s aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications.