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New Mexico State University


U.S. Department of Agriculture

Sandoval County Master Gardeners

Photo Release Form

Participants in NMSU, Cooperative Extension Service, Sandoval County Master Gardener events are
sometimes photographed and/or videotaped for use in promotional and educational materials. I
authorize New Mexico State University and the Sandoval County Master Gardeners to record and
photograph my image and/or voice for use by New Mexico State University, the Sandoval County Master
Gardeners or its assignees in research, educational and promotional programs. I understand and agree
that these audio, video, film, digital and/or print images may be edited, duplicated, distributed,
reproduced, broadcast, used in electronic and web media and/or reformatted in any form and manner
without payment of fees, in perpetuity.
I have read this release before signing below and I fully understand the contents, meaning and impact of
this release.
Signature _________________________________________________________________Date________
Printed Name _________________________________________________________________________

If the person signing is under age 18, there must be consent by a parent or guardian, as follows:
I hereby certify that I am the parent or guardian of _________________________________________,
named above and do hereby give my consent without reservation to the foregoing on behalf of this
Signature of parent or guardian (of child under age 18) ___________________________Date________
Printed Name of parent or guardian _______________________________________________________