Sevynteenth Foundation Media Release

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By completing this form, you hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and you waive any right to royalties or other compensation arising from or related to the use of the image.

Name *

Email *

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Event *

Please check the forms of media you grant permission for Sevynteenth Foundation to use your image for:

All of the below

Videos

Email Blasts

Informative Brochures/Newsletters

Website

By signing below, you agree to have read this release before signing, and fully understand the contents, meaning and impact of this release. You understand that you am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and you agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

Signature *

IF UNDER THE AGE OF 18, By signing below you agree to have read this release before signing, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

Signature of Parent or Legal Guardian (if under the age of 18)

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