Social Media Consent Form

Social Media Consent

I hereby give Family Source Consultants, LLC. permission to utilize photographs and/or videos in the manner I have selected below for the purpose of social media sharing and posting on FSC’s social media, including, but not limited to: Facebook, Twitter, Instagram, Pinterest, Email Newsletters and FSC’s website.

Name(Required)

First Last

Email(Required)

Please choose(Required)

I am an Intended Parent

I am a Donor Recipient Parent

I am a Surrogate

I am an Egg Donor

Family Source Consultants, LLC. has my permission to use(Required)

Pictures of myself and my child(ren), identified by our first name initials only

Pictures of myself, identified by my first name initial only

Pictures of my child(ren), identified by their first name inital only

I do not consent to have any photos shared on social media

We’d love to follow you on social media!

Please enter any of your social media usernames that you would like for us to follow.

Facebook

Instagram

TikTok

Twitter

Signature(Required)

I agree and understand that entering my name below is the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement. I understand that I can revoke my consent at any time by contacting Family Source Consultants.