Central Mass Christian Homeschool co-op
 

Media and Yearbook Release

indicates a required answer

Central Mass. Christian Homeschool, Inc.
Hudson, MA
1. *

Name of Student:
2. *

I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs or movies of the student named above by Central Mass. Christian Homeschool, Inc., hereafter mentioned as The Co-op. I also grant to The Co-op the right to edit, use, and reuse said products for non-profit purposes including use:

 (1 required)
in the yearbook, which will only be accessible to members of The Co-op in print other than the yearbook
on the internet in all forms of media
3. *

I also hereby release The Co-op and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the foregoing.

Signature of parent/guardian:
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
4. 

Signature of student (if 18 or older):
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
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