Your child's image,
in good hands.

During BlackGenius Canada activities, events and sessions, we sometimes take photos or videos of member children. This form lets you authorize — or decline — their use, and specify in which contexts.

This authorization is entirely optional and does not affect your child's participation in our programs. You may withdraw it at any time by writing to contact@blackgeniuscanada.org. See also our privacy policy.
If you authorize, please specify the contexts (check all that apply):
Typing your full name above constitutes an electronic signature and carries the same weight as a handwritten one.