EmailMeForm
YOUTH PHOTO RELEASE FORM
I, the parent or legal guardian of the
Youth
, grant Genesis Community Development Corporation permission to use the photographs, videos and social media from program activities for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content.
Furthermore, I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
Parent/Guardian’s Name
*
First
Last
Date
*
MM
/
DD
/
YYYY
Signature
*
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Youth’s Name
*
First
Last
Phone
*
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Email Address
*