Humane Education Waiver for Tours
Idaho Humane Society
Name of Participant
*
First Name
Last Name
Group organizing the Tour:
*
Name of Parent/Guardian Completing the Waiver
*
First Name
Last Name
Address of Participant
*
Street Address
Street Address Line 2
City
Province
Postal Code
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Photo Release: I hereby give my permission to the IHS and to the photographer, my free and unlimited consent and permission to publish/broadcast, republish/rebroadcast or exhibit the furtherance of their work, with orwithout identification of me or my child by name, any photographs, videos or audios of my child, that have been obtained from his/her participation at the Idaho Humane Society. I furthermore waive any and all claims for any compensation by reason thereof or for damages for reasons thereof.
*
Yes, I agree
No, I do not want my child photographed
Signature of Parent/Guardian
Date signed by Parent/Guardian
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: