Freedom of Information Act

Freedom of Information Release Form

This Consent and Release form allows Breton Soccer to use your child's name and/or picture on team lists, team telephone lists, or in local media.

Breton Soccer understands that there may be justifying circumstances or situations where parent(s)/guardian(s) do not want their child's name and/or picture published.

Parent(s)/guardian(s) have the right to refuse to sign this Consent and Release form. If this Consent and Release form is not signed, the person's name and/or picture will not be published.

Please fill in all the fields below:
  • I,
  • the legal parent/guardian of,
  • , hereby consent for personal information about my child, to be released to
  • team lists, the team telephone lists, or in local media.
  • Confirmation Details

  • My email address is
  • and my phone number is