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Consent to photograph, film or videotape a student for non-profit use

I, (Parent or Guardian’s Name typed below) hereby consent to the participation in interview’s, the use of quotes and the taking of photographs, movies or video tapes of my son/daughter and his/her work by Congregation Emanu-El of Westchester.

I also grant to Congregation Emanu-El of Westchester the right to edit, use and reuse said products for non-profit purposes (e.g. educational, public service or health awareness purposes) and to post them on the temple website. I also hereby release Congregation Emanu-El of Westchester and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above.

Please type your name here to give consent. Thank you

Please type your name here if you do not wish to give consent.

Wed, July 8 2020 16 Tammuz 5780