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www.youthsustainablesteam.org
Photo Release
Youth Sustainable Community STEAM Girls Incorporated dba Youth Sustainable STEAM, (YSS), a 501c(3) non-profit organization, P. O Box 3866 Decatur, Georgia. 30031 U. S. A. I, ________________________________________________, self, or parent, guardian, in loco parentis of ____________________________________________________________grant Youth Sustainable Community STEAM Girls Inc. a 501c(3) non-profit organization, my permission to use the photographs/video described for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. Only, first name and/or initials will be used. Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
Self/Child’s Name __________________________________________________________
Self/Parent/Guardian/In Loco Parentis’ Signature: _____________________________________
www.youthsustainablesteam.org
Photo Release
Youth Sustainable Community STEAM Girls Incorporated dba Youth Sustainable STEAM, (YSS), a 501c(3) non-profit organization, P. O Box 3866 Decatur, Georgia. 30031 U. S. A. I, ________________________________________________, self, or parent, guardian, in loco parentis of ____________________________________________________________grant Youth Sustainable Community STEAM Girls Inc. a 501c(3) non-profit organization, my permission to use the photographs/video described for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. Only, first name and/or initials will be used. Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
Self/Child’s Name __________________________________________________________
Self/Parent/Guardian/In Loco Parentis’ Signature: _____________________________________
2000-2002
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