Number of adults attending ($15/each) (required):
Number of children under 12 attending ($5/each):
First Name (required):
Last Name (required):
I hereby give GreenUP permission to use my name, photograph, video recording, audio recording, and/or likeness (collectively referred to as “My Image”) as they deem fit and appropriate to GreenUP’s purposes.
I am aware and agree that My Image may be used in all forms including, but not limited to, media for broadcast or in printed publications, on GreenUP’s websites, in public displays, or in GreenUP publications.
I am aware that GreenUP may share My Image with program partners and funders for their limited use, as it relates to a program or event.
I waive any right to inspect or approve any publication of My Image by GreenUP.
I understand that GreenUP cannot control unauthorized use of My Image by persons not associated with GreenUP once My Image has been published.
I have carefully reviewed and understand the above provisions and agree to be bound by them. I voluntarily and irrevocably give my consent and agree to this Release and Waiver.
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