Gold Medal Swim Club – Photo Release

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Form filled out Date and time
Parent/Guardian*
Email*
Swimmer*
Age*
I would like photos of my child taken and consent to its use for Gold Medal Swim Club and/or Gold Medal Swim School publicity. This image may be used in print publications, online publications, websites, and social media. No royalty, fee, or compensation shall be payable by reason of such use.
Consent*
- By electronically signing I understand my swimmer's first name, photo and swim bio may be featured in the club's monthly newsletter, Gold Medal Swim Club/School's monthly newsletter, and may appear in Gold Medal Swim School's lobby slide show. This information may be featured on Gold Medal Swim Club's/Swim School's social media accounts and/or the Gold Medal Swim Club's/Swim School's website. I consent to the use of information and associated photographs.
Electronic Signature
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