Consent Form 2014 SW FL Rheem Team Peopleʼs Choice Scholar-Athlete Giveaway

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Information about Consent Form 2014 SW FL Rheem Team Peopleʼs Choice Scholar-Athlete Giveaway
Templates & Forms

Published on April 2, 2014

Author: SWFloridaRheemTeam

Source: slideshare.net

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Consent Form 2014 SW FL Rheem Team Peopleʼs Choice Scholar-Athlete Giveaway

    2014  SW  Florida  Rheem  Team  People’s  Choice  Scholar-­‐Athlete     Social  Media  iPad  Giveaway!     GUARDIAN  CONSENT     I  grant  my  child  permission  to  participate  in  the  SW  Florida  Rheem  Team  Scholar  Athlete   Program  and  agree  to  the  following:     PROGRAM  ELEMENTS:   By  signing,  you  permit:       •  Your  child  to  be  entered  in  the  contest   •  Your  child  to  have  his/her  name  and/or  photo  to  appear  in  print  media,  signage,  press   releases,  promotional  materials,  etc.,  to  promote  the  program   •  Your  child  to  claim  the  prize,  if  won  (iPad)   •  Your  child’s  photo  and/or  video  to  be  posted  on  the  SW  Florida  Rheem  Team  website   (for  voting  purposes)        Yes,  I  give  my  child  ________________________________  permission.                          please  print  child’s  name        No,  I  would  like  to  opt  out  of  this  program  on  behalf  of  __________________.                                                                            please  print  child’s  name     Legal  Guardian  Name:  ______________________________  Date:  _________                                  please  print  name     Please  return  this  form  in  person  to  the  Rotary’s  Rob  Scharlau  or  to   Rob.scharlau@busey.com  or  Cindy  Metzler  at  cmetzler1@comcast.net.      

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