Photo Release Form
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Email *
Parents Name
Parents Contact Number
Students Name
Students School
I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies, writings or video tapes of the Student named above by the NYC DOE Gang Prevention & Intervention Unit's ROSE Program. I also grant to the right to edit, use, and reuse said products for non-profit purposes including use in print, on the internet, and all other forms of media. I also hereby release the New York City Department of Education and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above.
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