The 2023-2024 IAC Media Release Form
I hereby authorize International Academic Competitions (IAC) to use images and quotes in the
media from my child or minor for whom I am the legal guardian. For the purposes of this
agreement, “media” shall include the following “material”: video recordings, audio recordings and
photographs, quotes, testimonials and/or stories. IAC may use such media for its own purposes,
or may forward this material to be used by other media organizations (e.g. newspapers, television
stations, website editors, etc.)

I state that I am the parent/guardian of the child or minor whose name appears below. I have read
this release and authorization before submitting, and understand and approve its provisions.  By submitting this form for the below-named child, I have read this release and authorization and understand and approve its provisions.

If you have any questions or concerns before submitting this form please contact:
For High School Students: HS-info@iacompetitions.com
For Elementary & Middle School Students: EMS-info@iacompetitions.com
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Email *
Full Name of Parent/Guardian *
Full Name of Child *
The school your child attends *
Email address of Parent/Guardian *
I have read this release and authorization and understand and approve its provisions. *
Required
A copy of your responses will be emailed to the address you provided.
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