• Media Release form

    Parent Release Form for Media Recording

    I, the undersigned, do hereby grant or deny permission to Stebbins Indians Softball to use the image of my child, _________________________________, as marked by my selection(s) below. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the Stebbins Indians Softball website.

     

    Deny permission to use my child’s image at all.

    ☐  Sign_______________________________

     

    Grant permission to use my child’s image.

     ☐  Sign_______________________________

     

     

     

     

    Parent/Guardian signature

     

     

    Date

     

    If you have questions, contact Coach Cahill at 937-760-2262 or email coachcahill@att.net.

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