young boy sits on the grass

 

  • As it should appear in the exhibit
  • (parent, guardian or designated contact)
  • For scheduling and follow up.
  • For scheduling and follow up.
  • (i.e.) Spanish, American Sign Language, etc.
image of a happy child on a playground
young girl in dress
Image of two brothers racing scooters down the road
image of youth riding a bike and giving a thumbs up
Image of young man playing a violin
young woman sits with her sevice dog

Look! Forward Participant Application

I hereby authorize Family Connection of South Carolina, hereafter referred to as FCSC, to publish photographs taken of me for the Look! event, and my name and likeness, for use in FCSC’s print, online and video-based marketing materials, as well as other FCSC publications and events.

I hereby release and hold harmless FCSC from any reasonable expectation of privacy or confidentiality associated with the images specified above.

I further acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these photographs or participation in FCSC marketing materials or other FCSC publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever.

I hereby release FCSC, its contractors, its employees, and any third parties involved in the creation or publication of marketing materials, from liability for any claims by me or any third party in connection with my participation.