Creativity Alive Photo Release

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Photo / Video Release

For collaborations with Dancing Spirit, CUCC, STVideo, and Creativity Alive

I grant associates of Community United Church of Christ (CUCC), Creativity Alive and Dancing Spirit Equine Facilitated Learning and Coaching LLC, and ST Video the right to take photographs and videos of me in connection with Healing Journey events. I agree that CUCC, Creativity Alive and Dancing Spirit Equine Facilitated Learning and Coaching LLC and ST Video may use such photographs in print or electronic form for any lawful purpose, including for example web and social media content, promotions and news releases. They agree to only release images that are respectful of me. I further waive any and all rights to review or approve any uses of the photographs, videos, any written copy or finished product.

I agree that I have read and understood the above.

I am over age of 18

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Last Name

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Your Signature

Date

Legal Guardian if under age of 18

First Name of child/youth

Last Name

First Name of guardian

Last Name

Street Address

Street Address Line 2

City

Region/State/Province

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Your Signature

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