A Vape Free Future Entry & Permission Form Logo
  • A Vape Free Future - Permission Form

    This form must be completed and submitted by each team member by 11:59 PM on March 14, 2025 for your submission to be considered. A parent or legal guardian must sign on behalf of anyone under the age of 18. Please email Allison Havey at ahavey@metrodrug.org with any questions.
  • Legal Parent/Guardian Legal Waiver and Consent

  • I hereby grant permission as the legal parent/guardian of to participate in the Metro Drug Coalition A Vape Free Future Contest. I understand, and consent to my child’s name, photo, age, grade, attending school, likeness, appearance, image, voice, video, and artwork may be used for promotional, advertising, fundraising, and educational material, including but not limited to print, digital, direct mail, and for use on the internet for an indefinite duration. Furthermore, I give consent for the use of my child's image in any possible photos or other media coverage of this contest. In addition, I understand that any other student present in the submitted PSA must complete and submit a consent form.


    I grant additional permission to Metro Drug Coalition that any information or materials submitted may be altered as they see fit. I waive any right to approve the final product. In addition, the student and student’s legal parent/guardian agree to indemnify and hold harmless Metro Drug Coalition, its officers, employees, and agents from and against any claims, actions, costs, judgments, or damages of any type relating to the production or distribution of the materials submitted during the contest.


    I acknowledge that I will not receive any compensation other than the prize(s) set forth by the contest if my submission is selected.

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