Video Release Counselor

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Camp Pals 2007 Counselor Photo/Video Release By signing below I, , hereby give Camp Pals, Avi Setton, and Tyler Savage (the filmmakers) full permission to use any photograph or video footage of me and any guests I bring to Camp, for the currently titled documentary, ‘Camp Pals,’ and permission to publish and/or display these materials – in the film or for any promotion thereof. I hereby waive to the fullest extent that I may lawfully do so, any causes of action in law or equity I may have or may hereafter acquire against the Releasees or any of them for debt, liabilities, libel, slander, invasion of privacy, copyright or trademark violation, right of publicity, or false light arising out of or in connection with the utilization by the Releasees or another of the Released Subject Matter. X__________________________________ Counselor Signature X Parent Signature (if counselor under 18) Date

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