Parent/Guardian Consent to Disseminate


I hereby grant to 4theONE Foundation, its agents, successors and assigns, the right, permission, and consent to use and reuse, disseminate, print, reproduce, publish and republish, for any and all public purposes, and in any and all publicity, display, publication or media, my name (or my child's name), signature and likeness, and any portraits, pictures, photographic prints or other representations of me (or my child), or in which I (or my child) may appear, or any reproductions or sketches thereof or parts thereof, photographic or otherwise, with such additions, deletions, alterations or changes therein as you in your discretion may make, either separately or together with my (or my child's) name or a fictitious name, or the name of another person, with or without any statements or testimonials made by me (or my child), or authorized by me which you may, in your discretion, prepare for use in connection therewith. I warrant that I have not limited or restricted the use of my (or my child's) name or photograph to the use of any organization or person.

I hereby grant to 4theONE Foundation, its agents, successors and assigns, the right, permission, and consent to share any and all information related to my child's case with other organizations and agencies for the purpose of finding, locating, recovering, securing, transporting, and/or providing additional services for the safety, health, or benefit of my child, or for the arrest and/or criminal prosecution of perpetrators.

I hereby release and discharge 4theONE Foundation, its successors, assigns and agents from any and all claims and demands arising out of or in connection with the use of any of the foregoing, including any claims for defamation, invasion of privacy or violation of any statutory right.

I understand that 4theONE Foundation, is not responsible for private individuals placing photos on Facebook or other media.

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Signature Certificate
Document name: Parent/Guardian Consent to Disseminate
lock iconUnique Document ID: 43f6ba10aad63953735cee14c5145f7b51008d85
Timestamp Audit
August 17, 2016 1:54 pm CSTParent/Guardian Consent to Disseminate Uploaded by Dennis Ozment - dennis@4theone.org IP 47.184.97.71