Sadler Sports & Recreation Insurance
Sports Insurance Savings of Up to 38% On The Broadest Coverages While Getting Instant Online Quotes In Less Than 60 Seconds And Certificates Issued In Less Than 5 Minutes On Most Programs

Image Release Form

Image Release Form

In consideration of participation in the ________________________________ (organization's name), the undersigned agrees that their likeness, or the likeness of their child/ward may be photographed or videotaped and that such image may be published in an outlet used to promote or publicize the sports program.

____________________________ ___________________________ ________________
(Parent/Guardian Signature)  (Print Name)                (Date)

____________________________ ___________________________ ________________
(Parent/Guardian Signature)  (Print Name)                (Date)


Names of children/wards:
____________________________________________________

____________________________________________________

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