Media and Information Release

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Media release

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I hereby give the National 4-H Council, its agents and assigns, and all persons acting with its permission or upon its authority, the right and permission to use my name, image, voice, video, and/or likeness (collectively “Likeness”), for advertising, marketing, and promotional purposes, in any and all media now or hereafter created, including online. I hereby waive any right to inspect or approve the use of my Likeness as described herein. I hereby release and discharge National 4-H Council and its designees from any and all liability, claims and demands arising out of or in connection with the use of my Likeness. Finally, by clicking below, I confirm, represent and warrant that I am at least 18 years of age, or the parent/guardian of a minor child to which this release applies. If you are a minor child under 18 years of age, your parent or legal guardian must consent to this release on your behalf.
Consent*

Contact Information

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If you are under 18, please provide your parent or guardian information.

Parent or Guardian Information

Consent of parent or legal guardian if above individual is a minor.
Relationship to Minor
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