Unconditional Release Form Parental Consent For Student Under 18

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Unconditional Release Form—Parental Consent for Student under 18
I, the undersigned, parent or legal guardian of _____________________________,
(Please print full name)
student at Heritage College, hereby authorize HERITAGE COLLEGE to use one or
more of the photographs taken of her/him for the purposeof promoting HERITAGE
COLLEGE, its programs, services, or activities in all forms of media.
I also authorize HERITAGE COLLEGE to display photographs of her/his artwork on the
College web site, with the understanding that said photographs will be displayed with a
notation giving proper credit to her/him for the artwork depicted therein.
It is understood that these photographs shall not be used for any purpose other than
that stated above nor for reproduction by any other party by any means without my prior
written consent. I also understand that I will not receive any type of financial
compensation for her/his participation in this project.
It is further understood that I will not request any future compensation from HERITAGE
COLLEGE with regard to the use and reproduction of this (these) photograph(s) for the
abovestated purposes.
Signature:
_____________________________________
(parental authority)
Date:
_____________________________________
Location:
_____________________________________
Department:
_____________________________________
Witness:
____________________________________________

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