Parent/Guardian Name *

First Name

Last Name

Camper/Volunteer Name *

First Name

Last Name

Agreement *

I, (parent or guardian) do hereby consent and agree that Keys to Kindness, its employees, volunteers, or agents have the right to take photographs, videotape, or digital recordings of my child to use these in any and all media, now or hereafter known, and exclusively for the purpose of promoting Keys to Kindness and its mission. I further consent that my child’s name and identity may be revealed therein or by descriptive text or commentary. I understand that there will be no financial or other remuneration for recording my child’s, either for initial or subsequent transmission or playback. I also understand that Keys to Kindness is not responsible for any expense or liability incurred as a result of my child’s participation in this recording, including medical expenses due to any sickness or injury incurred as a result.

Yes, I do