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.

Contact Information

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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