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.
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(Parent/Guardian Signature) Date
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(Print Name)
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(Parent/Guardian Signature) Date
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(Print Name)
Names of children/wards:
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