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MATTERS OF SPORTS

ATHLETIC LEAGUE

CONSENT TO PHOTOGRAPH, FILM, OR VIDEOTAPE FOR NON-PROFIT USE


(Educational, public service, or health awareness purposes)

I hereby consent to the participation in interviews, the use of quotes, and the taking of
photographs, movies or video tapes of the participant named below:

Participant’s name: _______________________________________________________

I also grant Matters of Sports Athletic League the right to edit, use, and reuse said
products for non-profit purposes including use to print, on the internet, and all other
forms of media. I also hereby release Matters of Sports Athletic League from all claims,
demands, and liabilities whatsoever in Connection with the above.

(Participant If Over 18 years old) Date

__________________________________________ _______________________
(Parent If Under 18 years old) Date