RELEASE FOR MINOR CHILDREN (UNDER AGE 18) I, (print name)___________________________________________, parent or official guardian of (child’s name)__________________________________________ hereby grant permission to the Olympia Master Builders representatives, to take and use photographs and/or digital imag-

es of my child to take and use in the following: printed publications or materials, electronic publications, social media or websites.

In addition to the above, I: Authorize my child’s name and identity to be used in descriptive text or commentary in connection with the image. Do not authorize my child’s name and identity to be used in descriptive text or commentary in connection with the image.

I authorize the use of these images without compensation to me. All negatives, prints, and digital reproductions shall be the property of the Olympia Master Builders Association.

Signature of Parent or Guardian ______________________________________________________ Date ___________________

Send form to:1211 State Avenue NE, Olympia WA, 98506 Fax: 360.754.7448 Email: brianna@omb.org

CONTEST ENTRY FORMYou will receive a letter confirming your registration by email.

If you do not receive the confirmation you are not registered for the event.

CHILD’S NAME PARENT’S NAME

CHILD’S AGE AS OF 04/25/2020 PHONE NUMBER

EMAIL ADDRESS

LEGO® is a trademark of the LEGO® Group of companies which does not sponsor, authorize

or endorse this activity.

o o

EVENT SPONSOR:

PRIZE SPONSOR:

Ages 5-811:00-12:30pm

Ages 9-121:00-2:45 pm

Only 20 spots in each age bracket! Prizes awarded in each age bracket!APRIL 25th

st. MARtIn’s MARcus PAvILIon

KIDs’ Lego® BRIcK BuILDIng contest

at the

PRe-RegIstRAtIon suggesteD to ReseRve YouR sPot!