I, hereby give permission for images of myself (and my family

PHOTO / VIDEO RELEASE FORM
I, hereby give permission for images of myself
(and my family) captured during regular and
special Clare Oasis activities through video,
photo and digital camera, to be used solely for
the purposes of Clare Oasis’ promotional
material and publications, and waive any rights
of compensation or ownership thereto.
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Name of Participant / Family (please print legal name)
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Signature of Participant or Responsible Adult
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Date