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PERMISSION TO PUBLISH RELEASE FORM CUB SCOUT PACK 108 OXFORD, MICHIGAN The undersigned parent or legal guardian grants permission to the minor child (children) listed below to do the following: Check those that apply. ______to participate in Cub Scout Pack 108 Oxford, Michigan events and activities. ______to create crafts and prepare other projects for Cub Scout Pack 108 purposes. ______to be photographed at Cub Scout Pack 108 events, activities or in
some other way related to ______to have the child’s (children’s) creations photographed. ______to have child (children) appear in a photo that may be published in a newspaper. ______ to have child (children) appear in a photo that may be published
on the Cub Scout Pack 108 ______Allow photos of the child’s (children) creations to be published
on the Cub Scout Pack 108 ______Allow only first name of the child (children) OR ______Allow first and last name of the child (children) I release Cub Scout Pack 108 from any and all claims that arise from publishing anything pursuant to this authorization.
________________________________________________Child’s Name ________________________________________________Child’s Name ________________________________________________Child’s Name ________________________________________________Child’s Name
________________________________________________Parent or Legal Guardian ________________________________________________Print Name ________________________________________________Date |