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Photograph and Video Consent Form
Photographs and video images of cub scouts in the HOPKINTON PACK 4 CUB SCOUT are routinely taken for the purpose of celebrating cub scouts’ achievement and sharing educational programs with the community. Photographs may be submitted to newspapers, used in Pack 4 brochure and/or posted on Pack 4’s websites and blogs by HOPKINTON PACK 4 CUB SCOUT den leaders. Video footage may be submitted to area TV stations for local viewing and area news outlets occasionally cover special events within the Pack.

If you prefer, you can also print out a copy and pass it to cubmaster Bruce T.

I grant permission for a photo or video image that includes this cub scouts to be shared with media outlets, including newspapers and television stations, websites. Under no circumstances will HOPKINTON PACK 4 CUB SCOUT release personally identifiable information with such images, other than the child’s name, age, and/or grade. *
Cub scouts 1’s Full Name: *
Your answer
Cub scouts 2’s Full Name:
Your answer
Cub scouts 3’s Full Name:
Your answer
Parent's First and Last name *
Your answer
Electronic Signature *
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