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Fall Registration 2020-21 (Photo Release)
CHICAGO MISSION
FALL REGISTRATION
2020 - 2021
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Chicago Mission
Fall Registration
PHOTO RELEASE FORM
Player
*
First
Last
Mission Team
I hereby grant the Chicago Mission AAA Hockey Club permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
I understand and agree that all photos will become the property of the Chicago Mission AAA Hockey Club and will not be returned.
I hereby irrevocably authorize the Chicago Mission AAA Hockey Club to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.
I hereby hold harmless, release, and forever discharge the Chicago Mission AAA Hockey Club from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW. I ACCEPT:
Signature (Player)
*
Player Name
*
PARENT OR GUARDIAN
Signature (Parent/Guardian)
*
Parent or Guardian
*
Date
*
Date Format: MM slash DD slash YYYY
Email
*
Confirmation of form will be emailed...
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