Form Lr-146019 - Authority To Use Images - Talent Release Page 2

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Parent / Guardian Consent:
I / We ……………………………….………………………………………… <print name(s)>, as the
Parent(s) / Guardian(s) of ……………………………………………………………… have read,
understood and agree to the terms and conditions set out in this Authority to Use
Images and hereby consent to them.
Executed as a Deed on
<date>:
Signature
……………………………………………...
2
Signature ………………………….………………….
nd
(for joint Parents/Guardians)
LR-146019/31.12.02
Talent Release

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