LIABILITY RELEASE

This letter confirms that I hereby grant the Ronald Reagan Presidential Foundation & Institute (RRPFI) the right to obtain and/or use my/my student’s photograph, digitized image, video image, name and/or voice for educational and informational purposes in conjunction with the RRPFI Education Programs and Events. I understand that all images, productions and content, therein, become the exclusive property of the Ronald Reagan Presidential Foundation & Institute.

I understand that there will be no compensation for the use of any photograph, digitized image, name, video image and/or voice.

YES, I give my permission to include my/my student’s individual picture and name in all videos, photographs, and media related to the Ronald Reagan Presidential Foundation and Institute's Education Events.NO, I do not give my permission to include my (my student’s) individual picture with name identified. I understand that I (my student) MAY still be included in group shots, but I (my student) will not be identified.

All students under the age of 18 must have this release signed by their parent/guardian. Thank you for your cooperation.

Date (MM/DD/YYYY):

Student Name:

Student Last Name:

Student High School:

Graduation Year:

Student's Personal Email Address (please do not enter a school issued email address):

Student Birthdate (MM/DD/YYYY):

Are you 18 Years or Older?:

Please select the Reagan Education program you are participating in:

Debate Competition Location

‘Other’ Reagan Education Program

Mailing Zip

TERMS OF ACCEPTANCE and SIGNATURE

I, the student, parent or guardian for this liability release form, warrant the truthfulness of the information provided in this application.

(If over 18 years old) Student Signature:

Parent/Guardian First Name:

Parent/Guardian Last Name:

Parent/Guardian Email Address:

(If under 18 years old) Parent/Guardian Signature:

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.