GSA Network Photo Release Form (18+)


Program:  

Dates:  

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 (18+)
lock iconUnique Document ID: ac2156a55bf93c067453bab10ddefcb9225501d8
Timestamp Audit
July 15, 2020 3:12 pm GMTGSA Network Photo Release Form (18+) Uploaded by Anna Davis - adavis@gsanetwork.org IP 2601:c7:4200:7080:100d:b245:3103:5db5