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Phone 718-231-9166
© The Paige Fraser Foundation

TPFF Media/Photo Release Form for Minors

Please complete the form below:


I hereby consent to the publication and use of my child’s name and/or my child’s likeness “Likeness”) for the purpose of promotion, publicity, advertising, or other manner or media by the TPFF or any other representative authorized to act on behalf of the afore-mentioned entity. Likeness shall include, but not be limited to, photographs, sound and/or video recordings, films, broadcasts, brochures, publications, reports, web pages, promotional materials or any other audio-visual, electronic, printed, tangible work in any media or format, now known or hereafter to become known, and/or reproductions of any of these. I agree that the actual material involved is and shall continue to be the property of TPFF and that neither I, nor my child, shall have any right of review or approval regarding the use of my child’s name and/or Likeness in such material. 

I hereby release and hold harmless, TPFF, along with their respective employees, agents, affiliates, sponsors, or other representatives from any and all claims, demands, or causes of action arising out of the use of my child’s name and/or Likeness, in accordance with the terms of this release. I understand and agree that neither I, nor my child, will be compensated in any way for the use of my child’s name and/or Likeness by the TPFF. 

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