RELEASE OF MEDIA FORM
For Participation At:
Muskoka Extreme Corporation
I, the undersigned, hereby consent to the use of my and/or my child’s photograph or likeness in any publication, videotape, pamphlet or promotion by Muskoka Extreme or other agencies which are promoting or furthering the mission of Muskoka Extreme. I understand that I will not receive separate compensation or consideration from Muskoka Extreme or anyone else for the permission granted in this Consent nor for the actual publication or use of their photograph or likeness. By signing this Consent, I understand I am releasing Muskoka Extreme from any and all liability that may occur as a direct or indirect result of my and/or my child's photograph, the release of my and/or my child's identity, or the public relations materials, including but not limited to the use of any quotations.