PHOTO/VIDEO RELEASE FORM - Southeastern

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.): RELEASE .

for myself and, in the case of a minor (the "Minor"), for myself and the Minor in my capacity as the Minor's parent/guardian, agree as follows: 1. I hereby consent to the recording of statements, photographs, and/or audio or video recordings taken of the Minor or …

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  Form, Release, Guardian, Minor, Release form

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