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PHOTO/VIDEO RELEASE FORM

Simple RELEASE form : PHOTO/VIDEO RELEASE form . I hereby give permission for images of my child, captured during _____(Event). through video, photo and digital camera, to be used solely for the purposes of _____(Organization) promotional material and publications, and waive any rights of compensation or ownership thereto. Name of Participant (please print): _____Age: _____. Name of Parent/Guardian (please print): _____. Parent/Guardian s Signature: _____. Date: _____. Philips RELEASE w/name removed (includes provision to include statements re: quotes, testimonials, etc.)

connection with use of these statements, photographs, and/or audio or video recordings for promotional, commercial or other purposes. 4. On behalf of the Minor and myself, I hereby release, waive and discharge any claims of any kind or nature arising out of or relating to the use of the statements…

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