Section 1 of 1
2021-22 OMCBC Photo Release Form
Permission to use image, name and/or affiliated school or organization.
By signing this, I hereby release the Orange Mandarin Community Booster Club, Inc. (OMCBC) and its legal representatives from all claims and liability relating to said photographs, video and digital images.
Parents must complete an individual photo release for each child.
By signing this, I hereby release the Orange Mandarin Community Booster Club, Inc. (OMCBC) and its legal representatives from all claims and liability relating to said photographs, video and digital images.
Parents must complete an individual photo release for each child.
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Name (Last, First)
Name (Last, First)
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Affiliated school or organization
Affiliated school or organization
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I give OMCBC permission to use the following (check all that apply):
I give OMCBC permission to use the following (check all that apply):
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Your photo/image
The name of your school or organization
Your name and/or title
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Parent’s name if under 18
Parent’s name if under 18
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Parent signature
Parent signature
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If you do not already have a digital signature to upload please use this link to create one. You will be given the option to download the signature and upload the file. https://www.signwell.com/online-signature/draw/
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