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Embodied Arts & Wellness

Media Release Form, Summer Camp, 2024


I grant permission to Lucia Rich/Embodied Arts & Wellness (EAAW) and affiliates or employees of EAAW to use my/my child’s image/photograph * for use in media publications including: Posters, flyers, email blasts, website, newsletters, FB/Instagram. 


I Hereby waive any right to inspect or approve of the finished photos or electronic matter that may be used now or in the future, whether that use is known to me or unknown and I waive any right to royalties or any compensation arising from or related to the use of the image. 


* My/my child’s image/photograph will only be used in conjunction with direct advertisement of classes/workshops. They will not be shared with any third party (with the exception of affiliates of EAAW that are also promoting classes/programs for EAAW). 


I acknowledge that I am the parent or legal guardian of the child registered for this class. I have read this release before checking the box on the registration form and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions prior to signing and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release. 


Please return to the registration form and check the box that says I have read the media release. This will serve as your signature.  

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