SCNA Youth Photo Permissions Form

SCNA Youth Photo Release Form
Serama Council of North America (SCNA) Youth Member Photo & Media Permission
The SCNA occasionally uses photos of youth members to highlight education, community involvement, and youth activities. These images may appear on the SCNA website, social media, educational materials, or printed publications. We will never publish a child’s last name. Please complete the form below to indicate your level of permission.

Full Use Permission

I grant the SCNA permission to use my child’s photo or video in all SCNA publications, including:
  • Website and social media
  • Educational materials
  • Printed or digital publications
  • Event promotions
  • Youth program features

  • I understand that my child’s last name will not be used.

    Limited Use Permission

    I grant the SCNA permission to use my child’s photo or video only for:
  • Educational materials
  • Youth program resources
  • Internal SCNA publications


  • I do not grant permission for use on the public website, social media, or promotional materials.

    Face Blocked Permission

    I grant the SCNA permission to use my child’s photo only if the child’s face is blocked, blurred, or otherwise obscured so they cannot be visually identified. This permission applies to:
  • Website and social media
  • Educational materials
  • Printed or digital publications
  • Event promotions


  • I understand that my child’s last name will not be used.

    No Permissions

    I do not grant permission for the SCNA to use my child’s photo or video in any form.
    Please type your full name