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AGU may use audio, photos and/or video for use in the future, which may include: pamphlets, brochures, and informational booklets; at meetings, lectures and workshops; in public presentations during meetings and other events; in promotional and educational videos; and on websites and social media maintained by AGU and other not‐for‐profit entities. 
 
AGU has my permission to publish in print, electronic or video format the likeness or image of myself and/or my child. In any use of these images or video, names and other personal information will NOT be identified, unless first discussed and agreed upon with the parent and/or guardian. 

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* 1. I release all claims against AGU with respect to copyright ownership and publication including any claim for compensation related to use of the materials. By typing my name below, this serves as my electronic signature.

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* 2. Name of Child (if applicable)

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* 3. Today's Date

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