Permission to Use Photograph and Video

Subject: PRISM Activities and Events,

I grant to PRISM, its representatives, employees, staff and volunteers the right to take photographs and video of me, my child(ren) and my property in connection with the above-identified subject. I authorize PRISM, its assigns and transferees to copyright, use and publish the same in print and/or electronically.

I agree that PRISM may use such photographs and video of me with or without my name and for any lawful purpose, including, but not limited to, such purposes as publicity, illustration, advertising, social media and web content.

Parent or guardian must fill out the form for participants that are under 18.
Please put under-age participant's name in the field below.

I have read and understand the above:
Event or activity: *
First Name: *
Last Name: *
By entering your initials in the box below, you are effectively providing your signature, indicating that you agree that all the information on this form is true and aligns with your personal beliefs. *
Name of participant, if under 18:
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