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Photo Release Form
Photo Release Form
Photo Release
*
I hereby grant permission to Grossmont Healthcare District to use and share photographs and/or video taken of myself on the event date I enter below in publications, news, and releases, whether online or in other communications, related to our mission. Furthermore, I grant creative permission to alter the photograph(s).
Date of Event (if known)
MM slash DD slash YYYY
Name/Title of Event
*
Name of Event Participant
*
First
Last
Full Name of Guardian (if under age 18):
First
Last
Phone Number
*
Email Address
*
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