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122 Amsterdam Avenue • New York, NY 10023 • P: 212-769-2710 • F: 212-799-7528 • E: [email protected]
CONSENT TO PHOTOGRAPH, FILM, OR VIDEOTAPE A STUDENT FOR A NON-PROFIT PURPOSE
(E.G., EDUCATION, PUBLIC SERVICE OR HEALTH AWARENESS PURPOSES)
Rochelle TemporosaNAME OF STUDENT ( PLEASE TYPE OR PRINT LEGIBLY)
James Logan High School 2017
SCHOOL CLASS
I, (PLEASE PRINT ) Adelwissa Temporosa , hereby consent to the taking of photographs,
(PARENT/GUARDIAN)
of my son/daughter by Virtual Enterprises International for the 2014-2015 academic year.
I also grant Virtual Enterprises International the right to edit, use and reuse said products for
non-profit purposes sponsored by Virtual Enterprises International.
I also hereby release Virtual Enterprises International, and its agents and employees, from all claims,
demands, & liabilities whatsoever in connection with the above.
November 22, 2015DATE
_______________________________SIGNATURE OF PARENT/GUARDIAN
5104150140 TELEPHONE OF PARENT/GUARDIAN
3850 Amy Place, Union City CA, 94587ADDRESS OF PARENT/GUARDIAN
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122 Amsterdam Avenue • New York, NY 10023 • P: 212-769-2710 • F: 212-799-7528 • E: [email protected]
CONSENT TO PHOTOGRAPH, FILM, OR VIDEOTAPE A STUDENT FOR A NON-PROFIT PURPOSE
(E.G., EDUCATION, PUBLIC SERVICE OR HEALTH AWARENESS PURPOSES)
Natali DelgadilloNAME OF STUDENT ( PLEASE TYPE OR PRINT LEGIBLY)
James Logan High School 2017
SCHOOL CLASS
I, (PLEASE PRINT ) Araceli Delgadillo, hereby consent to the taking of photographs,
(PARENT/GUARDIAN)
of my son/daughter by Virtual Enterprises International for the 2014-2015 academic year.
I also grant Virtual Enterprises International the right to edit, use and reuse said products for
non-profit purposes sponsored by Virtual Enterprises International.
I also hereby release Virtual Enterprises International, and its agents and employees, from all claims,
demands, & liabilities whatsoever in connection with the above.
11/22/15 DATE
_______________________________SIGNATURE OF PARENT/GUARDIAN
(510) 401-7201TELEPHONE OF PARENT/GUARDIAN
737 Shawnee Court, Hayward CA, 94544ADDRESS OF PARENT/GUARDIAN
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2017
2017 ________
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