Media Release: RCT Great Northwest Challenge
Parent/Player Consent Form
Email address *
We hereby authorize and give our full consent to USA RUGBY to copyright and/or publish any and all photographs, videotapes, film, web casts/podcasts, and any other form of visual/audio communications in which we appear (separately or together) while attending any USA Rugby RCT event. We further agree that USA Rugby may transfer, use or cause to be used, these above mentioned communications for any exhibitions, public displays, publications, commercials, art and advertising purposes, and television programs without limitations or reservations. *
I understand that the organizers of Rugby Idaho Inc. and FloRugby may produce coverage (photographs and/or film and/or video) of me while I am participating. I hereby give permission to the organizers and to use the coverage in any lawful way they choose. I understand that I will not be paid for giving this permission. *
I understand that an electronic signature is the same as a regular wet signature. *
Parents Name/Signature *
Your answer
Players Name/Signature *
Your answer
TEAM NAME *
Your answer
TEAM'S STATE (EX: CA, WA, ID, OR, MT, UT, NV) *
Your answer
Date *
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A copy of your responses will be emailed to the address you provided.
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