GSA Network

GSA Network Photo Release Form (Under 18)


Program:  

Dates:  

Parent/Guardian: ,  

By selecting yes, you hereby authorize GSA Network to reproduce your image, photograph or to be filmed, as part of   , for publicity and fundraising purposes. Their photograph, image, or likeness may appear in either official materials including (but not limited to) brochures, websites, email blasts, or any other form of media and/or technology currently in existence or not yet developed. I understand that my/my child’s pictures and/or interview may be accessible to anyone with Internet access and may appear in local, statewide, national, and international print or television media.

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Document name: GSA Network Photo Release Form (Under 18)
lock iconUnique Document ID: d0542a9176f375f276bd4f8a38b734f75e5862f6
Timestamp Audit
July 15, 2020 3:13 pm PDTGSA Network Photo Release Form (Under 18) Uploaded by Anna Davis - adavis@gsanetwork.org IP 2601:c7:4200:7080:2104:cc2:201f:1ed6