Media and Model Release Form
Permission to publish content on the internet, in books, in advertisements, and elsewhere.
I, being parent/guardian of (the student or adult named on this form), hereby consent that videotapes, photographs and/or audio recordings made of myself and my children within the programs may be used freely by the coach, the associated organizations, sponsors and school districts. Furthermore, I hereby consent that such photographs, and/or tapes from which they are made shall be the property of authors, coaches, partners and sponsors. These include, but are not limited to, Coach Mark Rauterkus, CLOH.org, the nonprofit Bloomfield-Garfield Corporation, Pittsburgh Public Schools, American Water Polo Association, and others.
Answer "YES" or "NO."
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