2021 ABA, Inc Community Service Media Release
I, [Parent/Guardian] , hereby grant to American Biotechnology Association, Inc., their
successors, and their assignees the right to record the image and/or voice and use the
artwork and/ or written work of my child, [Student Name], , on videotape, on film, on
photographs, in digital media and in any other form of electronic or print medium and to edit such recording at their discretion.
I understand that my child's full name, address and biographical information will not be made
public. I further grant American Biotechnology Association, Inc., their successors, and their
assignees the right to use, and to allow others to use, my child's image and/or voice on the internet, in brochures, and in any other medium and hereby consent to such use.
I hereby release, American Biotechnology Association, Inc., their successors, and their assignees
and any using my child's image and/or voice, artwork, and/or written work pursuant to this media release form any and all claims, damages, liabilities, costs and expenses which I or my child now have or may hereafter have by reason of any use thereof.