Wild Starr Creative Studio 
Individual Photograph/ Video Release
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Event /Rental Attending: *
List first and last name of the rental party (who reserved the space)
Event Date and Time: *
Photograph/Video Release:
*
I consent to have, and hereby waive any objection to, Wild Starr Creations photographing and/or videotaping me and/or my child when I and/or my child is participating in Wild Starr Creations storefront, programs, camp or events. I am aware that all photographs and video footage will remain the property of Wild Starr Creations, and that Wild Starr Creations may use such photographs and videotapes on the Wild Starr Creations website, social media, and/or other promotional material or media.
Your Name: *
Youth Name:
Youth Event Participant
Your Contact Information: *
Phone Number and Email Address
Today's Date: *
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Wild Starr Creations, LLC

616 E Street  Anchorage, AK 99501

(907) 677-9453 

https://www.wildstarrcreations.com

eventswildstarrcreations@gmail.com

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