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Citizen Scientist 2024 Photo and Video Release Form

Please complete the form below. Required fields marked with an asterisk *

Contact Information

Student Name*

Answer Required

Parent/Guardian Name*

Answer Required

I am the parent/legal guardian of the child named above. I have read and understand the project description given in the letter provided with this form, and agree to the following:*

Answer Required

I DO give permission for you to use PHOTOGRAPHS of my child taken during the Citizen Scientist program for purposes of program promotion, reflection, and publication for Citizen Scientist 2024.

I DO NOT give permission for you to use PHOTOGRAPHS of my child taken during the Citizen Scientist program for purposes of program promotion, reflection, and publication for Citizen Scientist 2024.

I DO give permission for you to use VIDEOS of my child taken during the Citizen Scientist program for purposes of program promotion, reflection, and publication for Citizen Scientist 2024.

I DO NOT give permission for you to use VIDEOS of my child taken during the Citizen Scientist program for purposes of program promotion, reflection, and publication for Citizen Scientist 2024.