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1. Default Section
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1
. Parent Name
Parent Name
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2
. Please type your Childs full name.
Please type your Childs full name.
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. Address
Address
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. Daytime Phone
Daytime Phone
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. Childs school
Childs school
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. Childs grade
Childs grade
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. Childs age
Childs age
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. I give the Junior League of South Bend and The Association of Junior Leagues International Inc. permission to publish in print, electronic or video format the likeness or image of myself. I release all claims against the Junior League of South Bend and The Association of Junior Leagues International Inc. with respect to copyright ownership and publication including any claim for compensation related to use of the materials.
General Guidelines: Signed releases should be used when adults are posed for photographs or slated to appear on videotape. Signed release forms are not needed when subjects are in public places such as fairgrounds, parks or public streets. When images are published, the Junior League of South Bend and AJLI will take cautionary steps to provide minimum identifying information and will not use specific street or mailing addresses, email addresses or phone numbers. Photographs or videotaping in private or public schools or youth camps must be done only with school or camp permission. It is the responsibility of the photographer or videographer to obtain signed release forms and maintain records.
I give the Junior League of South Bend and The Association of Junior Leagues International Inc. permission to publish in print, electronic or video format the likeness or image of myself. I release all claims against the Junior League of South Bend and The Association of Junior Leagues International Inc. with respect to copyright ownership and publication including any claim for compensation related to use of the materials. General Guidelines: Signed releases should be used when adults are posed for photographs or slated to appear on videotape. Signed release forms are not needed when subjects are in public places such as fairgrounds, parks or public streets. When images are published, the Junior League of South Bend and AJLI will take cautionary steps to provide minimum identifying information and will not use specific street or mailing addresses, email addresses or phone numbers. Photographs or videotaping in private or public schools or youth camps must be done only with school or camp permission. It is the responsibility of the photographer or videographer to obtain signed release forms and maintain records.
I have read and agree to these terms
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