Participant Agreement & Release Form

VIDEO/PHOTO/RELEASE

By signing below, I give C-HOPE permission to use photographs and audio and/or video recordings of me for marketing and/or fundraising purposes. This includes promotional videos, websites, brochures, newsletters,and similar marketing materials/media. C-HOPE respects the privacy of its participants and does not knowingly allow unauthorized visitors to take images of participants.

RELEASE OF OWNERSHIP

By signing below, I assume no ownership of any product I produce or assist with producing, This includes sales of projects that showcase the talent of C-HOPE participants.

RELEASE OF LIABILITY

I hereby release and hold harmless C-HOPE, Inc., its officers, directors, employees, agents, representatives, volunteers, heirs, executors, and assigns from all liability for personal injury, including death, as well as all property damage or loss arising out of my/my child’s participation in this program and any travel/transportation-related to this program, whether paid for by myself or by C-HOPE. I understand that this release and indemnification releases liability for the conduct of C-HOPE and its officers,directors, employees, agents, representatives, volunteers, heirs, executors, and assigns. Information on program participants’ progress may be collected and used in aggregate form in non-identifying ways tomeasure and demonstrate the efficacy of C-HOPE programs.

VERIFICATION OF UNDERSTANDING(Required)
By initialing the boxes below, I confirm I have read and understand each of the sections above.
PARTICIPANT CONSENT(Required)
The undersigned consents to the above and agrees to participate in any and all activities of C-HOPE programs.
MM slash DD slash YYYY
Parent/guardian signature (volunteers under age 18)
Consent(Required)
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Name(Required)
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