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April 25, 2024

I, the undersigned, grant permission and consent to School of Wake LLC, its agents and assigns, to use my photo, video and likeness for the purpose of promotion by School of Wake LLC for all forms, media and manners, for the following, but not limited to, news releases, photographs, video, audio, website, marketing, advertising, promotion or exhibition for an indefinite period of time.

I give unrestricted permission for images and videos of the participant to be used in print, video, digital and Internet media. I agree that these images may be used for a variety of purposes and that these images may be used without further notifying me.

I further acknowledge that I will not be compensated for these uses and the School of Wake LLC owns all rights to the images and videos, and to any derivative works created from them.

I waive any right to inspect the uses of any printed or electronic copy. I hereby release School of Wake LLC and its agents and assigns from any claims that may arise from these uses, including without imitation claims of defamation or invasion of privacy, or infringement of moral rights or rights of publicity or copyright. 

 

 

 

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
11 Participant's Name

First Name*

Last Name*
11 Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
I, the undersigned parent or legal guardian of the child shown below, have read the above Photo Release and agree to its terms on behalf of my child and myself. I understand that by signing the below, I am giving up substantial rights on behalf of my child and myself.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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