2023 CI SPIKERS PHOTO RELEASE

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I hereby give authorization to CI Spikers to permit my child to be photographed, filmed, or videotaped for promotional purposes for the CI Spikers JO Volleyball Club. I further authorize the use of these materials on the CI Spikers Club website.

I do hereby release and waive all claims, demands, or objections against the above named club in connection with or arising out of the photographing or video taping of my child.

Player's first name: *

Player's last name: *

Player's age bracket level: *

D team

12U

13U

14U

15U

16U

17U

Required

Parent/guardian please check the appropriate box below: *

Yes, I give permission for CI Spikers to use my child's photograph for promotional purposes for the CI Spikers Volleyball Club.

No, I do not give permission for CI Spikers to use my child's photograph for promotional purposes of the CI Spikers Volleyball Club.

Required

Today's date:

YYYY

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