Photo Release Form
TECH-X 2010 ~ MAY 7 AND 8, 2010
STUDENT NAME: _______________________________
Minors
I hereby give Victor Valley College permission to take
photographs or video of the minor named above or photographs
or video in which the minor may be involved with others for the
purpose of promoting Victor Valley College, Tech-X or the
colleges educational programs.
I hereby release and discharge Victor Valley College from any
and all claims arising out of use of the photos or videos, or any
related rights that I or the minor may have.
I, _______________________ [PARENT/GUARDIAN] am of full
age, and am able to contract for the minor in the above regard.
I have read the foregoing document and fully understand its
contents.
Signature: ______________________________________
Date: __________________________________________
Print name: ______________________________________
Address: ________________________________________
PLEASE FAX THIS FORM TO: Nord Embroden @ (760) 241-0881