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I grant Defensive Skills Academy, LLC the right to use my image in photographs, videos, or other digital media ("photo") in any of its publications, including online publications, without any compensation or consideration.

I acknowledge and consent that all photographs will become the property of Defensive Skills Academy, LLC and will not be returned.

I irrevocably grant the Defensive Skills Academy, LLC permission to edit, alter, reproduce, display, publish, or distribute these photographs for any lawful purpose. Moreover, I relinquish any right to inspect or approve the final product that includes my image. Furthermore, I renounce any claim to royalties or other forms of compensation arising from or associated with the use of the photographs.

I hereby absolve, release, and forever exonerate the staff of Defensive Skills Academy, LLC from all claims, demands, and legal actions that I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate, have or may have due to this authorization.

I have read and understood the above photo release. I affirm that I am at least 18 years of age, or if I am under 18 years of age, I have obtained the required consent of my parents/guardians, as evidenced by their signatures below. I accept:

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First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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