Authorization and Release Agreement
By signing this form (the “Release”), you are authorizing Thinkster Learning, Inc (“Thinkster) to use and disclose your profile picture/testimonial in its marketing and public relations efforts and acknowledge that the testimonial may be distributed to the media, other individuals and entities that may be involved in Thinkster’s marketing and public relations efforts and the public.
CONSENT TO RELEASE I hereby authorize Thinkster to copy, exhibit, publish, distribute, or otherwise use and disclose my picture and any information in the testimonial for purposes of publicizing its services and products, for any other marketing and public relations efforts, or for any other lawful purpose. These statements may be used in printed publications, multimedia presentations, on websites, or in any other distribution media. I understand and approve the disclosure by Thinkster of testimonial information to the media, the public, and other individuals and entities that may be involved in Thinkster’s marketing and public relations efforts. I agree that I will make no monetary or other claims against Thinkster for the use of the testimonial.
Parent or Guardian Name
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First Name
Last Name
Student's First Name
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Student's Thinkster Coach
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Email
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example@example.com
Parent or Guardian Signature
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Clear
Date Signed
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Month
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Day
Year
Date
Image Attachment
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Why are you nominating your child? (It's time to brag a little! Tell us about a recent grade, math score, or activity/sport/hobby accomplishment!)
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