Withdraw Media Consent

Withdraw ongoing consent to be recorded at future SFLuv events.

Full name

Email or phone

If you give an email address, we will email you a copy of what you signed.

I previously signed the SFLuv Media Consent and Release and chose ongoing SFLuv participation. I withdraw that consent for recordings made from now on.

I understand that withdrawing does not require SFLuv to remove materials that were already published or distributed before this notice was received.

The participant is under 18. A parent or legal guardian must also sign below.

Your signature required

Date: today. The time of signing is recorded automatically.

I agree to sign this form electronically, and I understand that my signature here has the same effect as a handwritten one.