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Photo/Video
Release Form

 

PHOTO/VIDEO RELEASE FORM

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I grant Envisioning Youth Empowerment Retreat and its representatives the right to take photographs/videos of me/my child in connection with the Envisioning Youth Empowerment Retreat.  I authorize the Envisioning Youth Empowerment Retreat and its representatives to publish photographs/videos in print and/or electronic formats.

 

I agree that Envisioning Youth Empowerment Retreat and its representatives may use such photographs/videos of me/my child for any lawful purpose.

PARENT SIGNATURE BOX

PARTICIPANT SIGNATURE BOX

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