Photo & Name Use Consent Form

SUDC Foundation fundraising events and activities are designed to improve SUDC awareness, engage community advocacy, and raise funds to support the mission of the SUDC Foundation.

These events and activities often highlight the beautiful children lost to SUDC by displaying their photos and/or first name.

These precious photographs and first names are entrusted to the Foundation by their parents/legal guardians through written consent. We are grateful to the many families who are helping us raise awareness of sudden unexplained death in childhood in this special way while remembering their beloved child. Click Here to Learn More

If you would like to give the SUDC Foundation permission to share your child’s first name or photo please complete and submit the consent form below.

I hereby authorize The SUDC Foundation, its agents, successors and/or assigns as its interests may appear to use photographs of my minor child and/or their name, supplied by me to said organization(s) in any or all of its publicity, including but not limited to, FACES video/slideshow, and/or events benefitting the SUDC Foundation (including those hosted by other foundations or event planners outside of the SUDC Foundation). Said picture(s) may be used with or without using my minor child’s given/first name and/or surname. My child’s given/first name and/or surname may be used with or without photograph(s).

Additionally, I agree that there is no cost to me for submitting my child’s photos and name for possible publishing and use. I hereby waive any right to royalties or other compensation arising or related to the use of the aforementioned that I provide. I hereby represent and warrant that I am 18 years of age or over. I understand that the SUDC Foundation will make every effort to notify me of my child’s photo or name being used.

I agree to indemnify and hold harmless the SUDC Foundation, its directors, employees, volunteers, agents, successors and/or assigns for any and all claims, liability, damages and expenses that may arise from said use of my child’s photo, including but not limited to processing, printing, copying or reproduction, in whole or in part, including any claims brought by any other person or entity claiming an interest in the photos or in their subject matter.

Click or drag a file to this area to upload.
Please name your file using your child's information in the following format: firstname_lastname_consentdate-mm_dd_yyyy. Photo should include only your child.


Please check the box(es) below to confirm your agreement to the above terms and conditions. Note you may choose one option, or both.