Photo and interview release form date i hereby grant the the center for developmental disabilities advocacy and community supports (the center) permission to interview me and/or to use my likeness in photograph(s)/video in any and all of its...
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Extension administration cornell university 365 roberts hall ithaca, ny 14853-5905 t. 607 255-2237 f. 607 255-0788 e. cce cornell.edu .cce.cornell.edu photo, video, and audio consent and release form from time to time, photographs, videos, direct...
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Western nevada community college authorization to be interviewed/photographed date: i (name) hereby give my permission to be photographed and/or interviewed . i authorize this interview/photograph to be used in newspaper article television/video...
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Liability and photographic releasein consideration of agua fria union high school district agreeing to photograph orinterview me and in consideration of the use of the facilities and services provided to meby the agua fria union high school...
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Medical alumni association thank you for supporting the maa. donor information name: grad year: address: home: office: phone: home: office: fax: cell: email: (1) (2) gift amount here s my gift of: $50 $100 $250 visa mastercard or other $ . method...
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Renewal parts data rp01414001e panelboard renewal parts supplement effective january 2011 powrkit table 25. parts order form description style number max. order quantity one complete powrkitinitial orders only powrkit 1 yearly powrstock renewal...
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Release form for pr, print and video testimonialsi hereby give georgia transplant foundation, inc and those acting pursuantto its authority, permission to publish my testimonial interview, video and photograph.i hereby authorize georgia transplant...
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Borrar datos version 7.50 20120906 20120906094916 121 seleccinelo o escrbalo si no existe madrid para realizar la facturacin a nombre del cliente el arquitecto contar con la autorizacin expresa del mismo. madrid coam trabajos presentados...
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Cbh intensive outpatient (d&a) service request form type of service: d&a iop date of submission: provider number: date cbh received: living client name provider contact: 6/18/2001 cis# soc. sec.# arngm t code voc. educ. code requested service code...
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There oughta be a law! student video contest parent/guardian permission form one completed and signed copy of this document must be submitted for your entry to be considered complete and eligible for a prize. title of video entry students name...
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California state university, los angeles 9/2011 student permission form california teaching performance assessment task 4 culminating teaching experience dear parent/guardian: i, am a teacher credential candidate at california state university,...
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Ucps photo, video and news interview release formi do hereby grant to union county public schools the unlimited right to use and/or reproduce photographs,likenesses or the voice of my child in any legal manner and for the internal or external...
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Account # period covered delinquent if not paid by the last business day of the month. return this form with your remittance to: taxpayer name & address city of avondale sales tax department 11465 w. civic center drive, #270 avondale, az 853236808...
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Video / photography authorization form (individuals 18 years old and over) i, , grant permission for my image to be used (person in video/photograph) for the sole purpose of s culminating senior project. (harbor creek senior student) the image...
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Video recording release form this form must be completed by all individuals who wish to view video recordings that were prepared for surveillance purposes by or on behalf of the board of trustees of the red deer public school district no. 104....
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