ESTIMATED WIN/LOSS STATEMENT REQUEST FORM

I hereby release and hold harmless “Property,” its subsidiaries and employees from any liability associated with my use of this information for any purpose. The estimated win/loss statement that I receive will include any carded play I may have for Slots, Video Reel, Pit, Race and Sports, Keno and Bingo. Member Signature Date

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PHOTO/VIDEO RELEASE FORM - Southeastern

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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.

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Huntsville City Schools 202 High School Catalog

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