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Photography and Video Consent - ShineLight
15834
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Photography and Video Consent
Shine-Light, Inc.
Your Name
First
Last
Child's Name
First
Last
Do you give consent for your child to be videoed or photographed for educational purposes? Do you understand that this video will be taken and used only for educational purposes and that your child will not be exploited in any way? Do you understand also that at any time you may choose to rescind this consent with notice to the agency?
Please choose one
Yes
No
English
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Spanish