Release Photo Form Permission To Publish And Use Pictures

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Release photo form
Permission to publish and use pictures
By completed this form, I authorize Altitude Gym to use the picture or the image
visually photographed of ___________________________ (name of the child) for
the purposes of use in print publications or electronic books, brochures, corporate
documents, promotional materials, magazines, newsletters, website and others
similar documents from year to year in a professional context.
The undersigned recognizes the right of Altitude Gym to proceed without any
compensation, the uses and publications of my picture or image in the documents
explained in the preceding paragraph. The undersigned shall indemnify Altitude
Gym of any claim arising from the use and/or the publication of my visual image
by anyone, including third parties.
I have read and understood this consent form, and the terms therein, before signing
it, and I declare that I am the parent or legal guardian of the minor named above,
and that I have the legal authority to sign this consent form on their behalf. I have
read and understood all the implications above and agree to the use of pictures
based on the content of this form.
Name of legal parent/guardian:
____________________________________
Date:
____________________________________
Signature of legal parent/guardian:
____________________________________

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