Media Release and Waiver *
I hereby authorize the program to use my child's image to be photographed or videotaped for use by TV, print or electronic media outlets (i.e. Edmonton Journal, Free Press, CBC, CTV, etc.) which may visit the program for the purpose of filming a news story, documentary or other production approved by the Program Coordinator. I understand that my child my be called upon by a journalists to answer questions which I recognize will be screened and monitored by the Program.