MEDIA RELEASE AGREEMENT

I give my permission for my child’s photograph to be posted on the Center Ice Skating Club’s web site. 

I understand that my child’s name will NOT be placed on the web site.

I understand photographs may be used for public viewing on the Center Ice Skating Club web site, brochures, media outlets, etc. that have been endorsed by the Center Ice Skating Club.

Please check the appropriate line below:
 
_____I give my permission.

_____I do NOT give my permission.
 
Name of skater__________________________________________________________________

Parent Signature_________________________________________Date____________________