PHOTO & VIDEO RELEASE

I hereby authorize Virtual Arts, Inc. permission to use the image, video footage, and
likeness of me in any and all of its publications, including - but not limited to - all of Virtual
Arts, Inc.’s printed and digital publications. I understand and agree that all such media will
become property of Virtual Arts, Inc. and will not be returned.

I acknowledge that I will receive no financial compensation for the use of my image and
likeness.

I hereby irrevocably authorize Virtual Arts, Inc. to edit, alter, copy, exhibit, publish, or
distribute this media for purposes of publicizing the programs of Virtual Arts, Inc. or for
any lawful purpose. In addition, I waive the right to inspect or approve the finished
product, including written or electronic copy, wherein my likeness appears. Additionally, I
waive any rights to royalties or other compensation arising or related to the use of the
media where my child appears.

I have read this release before signing below and I fully understand the contents, meaning,
and impact of this release.

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Participant’s Name- Please Print Parent Signature (If under 18)

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Participant’s Signature Parent Name- Please Print

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Date