Revolutions Bicycle Co-Op

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Photo Policy & Opt-Out Form

We believe that using photos of bicycle riders of all ages in our print and web publications fosters a greater sense of community. Photography and video recordings from events, rides and classes hosted by Revolutions Bicycle Cooperative help RBC to display the vibrancy and joy of our community. We use photos to enhance the quality of our print materials, newsletters, the website, social media, publicity, and fundraising. We also use photos to further our efforts in education, outreach, and building a more inclusive community by getting people on bicycles. As a participant in RBC events, you have a right to opt out of inclusion in photographs/media, but unless a “Media Images Opt-Out Release” is signed and on file at the RBC office with a reference image of the person opting out, participation in RBC activities implies permission for the use of images taken at those events.

RBC will never post images with identifying information such as name, email address, address, or family members’ names. No special compensation is provided to any individual included in images taken at RBC events. RBC does not contact individuals to notify them if or when their images is used by RBC.

Individuals who have submitted a completed “Media Images Opt-Out Release” form should endeavor to alert photographers should they see someone in their vicinity taking pictures, so that they are not accidentally captured in crowd shots.

This opt-out form does not apply to photos that might be taken and used by others who attend the RBC events.

Complete and return this form to the Office of Revolutions Bicycle Cooperative ONLY if you do NOT give permission for your photo, audio, or video to appear in possible RBC publications or publicity, including printings, social media, or the website. This opt out MUST be accompanied by a current photo of the individual.



I do not authorize Revolutions Bicycle Cooperative or its officers, employees, or agents, to use recordings or photographs of myself in whole or part for advertising, fundraising, media, video, audio, or other marketing purposes. I hereby confirm that I am of legal age (over 18) and have every right to contract in my own name. I further affirm that I have read the above “Media Images Opt-Out Release” and am familiar with its contents. I have provided a picture of myself to be used as reference to assure my dis-inclusion in any images used by RBC. I will notify photographers in my vicinity that I do not wish to be photo- graphed. In signing this Form, I understand that RBC will make reasonable efforts to avoid access to, or remove, my image or voice for all purposes identified herein.

Adult (Over 18)

Date: _______________________      Name: ________________________________________

Address: ___________________________________________________  City: ________________________

State: _________            Zip: ____________              Phone: ______________________________________

Email: _________________________________________________________________________

Child (Under 18)

Date: _______________________      Child’s Name: ________________________________________

Parent’s Name: ______________________________________________________________

Phone: __________________________________

Email: _________________________________________________________________________

I hereby confirm that I am the Parent or Guardian I further affirm I have read the above “Media Images Opt-Out Release,” and am familiar with its contents.

Signature: ________________________________________________________

Return this form including a reference photo to the Revolutions Bicycle Cooperative, Sylvia Crum at, or

1000 S. Cooper St., Memphis, TN 38104

Office Use: Photo Received By: ________________________________________________________

Date: ________________________________________________________

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