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Parent/Guardian Photo Consent
Parent Email
*
example@example.com
Child Name
*
First Name
Last Name
I am the parent or legal guardian of the child named below. I give permission for Northwest Kidney Kids to take and use photographs of my child for summer camp-related web pages, printed materials, and organization bulletins. I understand that no compensation will be provided for this use. — Please select: Yes or No.
*
Yes
No
Parent/Guardian Full Name
*
Parent/Guardian Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: