NewPathVR

Photograph and Publicity Release Form

I,
Invalid Input , give NewPathVR and its related properties including RenewVR, permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of NewPathVR or RenewVR activities. I agree that NewPathVR and RenewVR have complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with the NewPathVR/RenewVR’s missions. These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet. I acknowledge that I will not receive any compensation, etc for the use of such pictures, etc., and hereby release the NewPathVR/RenewVR and its agents and assigns from any and all claims which arise out of or are in any way connected with such use.

Invalid Input I give my consent to the NewPathVR/RenewVR to use my name and likeness to promote the NewPathVR program, and/or their activities.


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PARENT/LEGAL REPRESENTATIVE SIGNATURE (IF>AGE18) :
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