RELEASE FORM for
Location: Bossier City, LA Date: July 29, 2019
I hereby irrevocably give my consent to International Business Machines Corporation (IBM), its affiliates, licensees, agents, successors and assigns, and to such other persons as they designate, to use my child's name, voice, verbal statements and portrait or picture (motion or still) for purposes of trade or for any lawful purpose whatever, in any media now known or hereafter developed.
I hereby agree and acknowledge that, to the extent permitted by law, IBM, its subsidiaries and affiliates and their servants and agents, shall not be liable for any claims for injury, loss or damage suffered in connection with my child’s participation in the event day activities and I release IBM, its subsidiaries and affiliates and their servants and agents, from any liability.
E-Signature: I agree that my typed name in the following online textbox has the same effect as my signature on a paper form.