Media Waiver and Release

Media Waiver and Release
I, First Name Last Name, hereby authorize Blackwood Educational Land Institute to publish the photographs taken of me and/or the undersigned minor children, and our names, for use in Blackwood's marketing materials, including but not limited to, the Blackwood website, social media, newsletter, media publications, and news outlets.
I release Blackwood Educational Land Institute from any expectation of confidentiality for the undersigned minor children and/or myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize Blackwood to use their photographs and names.

I acknowledge that since participation in publications and websites produced by Blackwood is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by Blackwood confers no rights of ownership whatsoever. I release Blackwood, its contractors, and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children.
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Address

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Name and Ages of Minor Children (If applicable)

Complete this section if signing for individuals under the age of 18.
Name of Child (1)
Age of Child (1)
Name of Child (2)
Age of Child (2)
Name of Child (3)
Age of Child (3)
Name of Child (4)
Age of Child (4)
Name of Child (5)
Age of Child (5)
Should be Empty:

Media Waiver and Release

Name and Ages of Minor Children (If applicable)