Media Release – Student Shakespeare Festival 2023(Required) I acknowledge that I have read the following and I fully understand the contents.By signing this release form, I authorize the San Diego Shakespeare Society to use the following: (1) My picture – including photographic and electronic images from the San Diego Student Shakespeare Festival 2023. (2) Film, audio, or video recording of me from the San Diego Student Shakespeare Festival 2023. I hereby grant to the San Diego Shakespeare Society the right to use, publish, and reproduce my name and pictures or film/video footage of me in electronic or print form, described above for promotion, advertising, educational conferences, funding requests, and in brochures and other print media. This permission shall continue unless I revoke the permission in writing. I hereby waive the right to receive any payment for signing this release and waive the right to receive any payment for the San Diego Shakespeare Society’s use of any of the material described above for any of the purposes authorized by this release.IN WITNESS WHEREOF, I have executed this release on(Required) Month Day Year Student Name(Required) First Last Student Phone(Required)Student Address(Required) Street Address City State ZIP code Student signature (if 18 or over)(If release is provided on behalf of another:) I hereby certify that I am the guardian of the above student and that I have the legal authority to execute this release. I approve the foregoing and agree that we both shall be bound thereby.Guardian Name First Last Guardian PhoneGuardian Address Same as above Different from above Guardian Address Street Address City State ZIP code Guardian Signature Δ
