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The 16th annual EYE Retreat will be July 27 - August 3, 2024. Mentor Applications Open!

ENVISIONING YOUTH EMPOWERMENT RETREAT
"I RETREAT FROM NO CHALLENGE!"
CELEBRATING 16 YEARS

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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