Camp Norden AUTHORIZATION FOR PHOTOGRAPHY, FILMING OR INTERVIEWING & PHOTO SHARING


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Name (Parent or Guardian)*
Child's Name*
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This data is confidential and helps us offer age appropriate opportunities.
Address*

I hereby expressly grant to Children's Cancer Research Fund the right to make, use and/or publish information, photographs, or any other reproductions of my physical likeness for communications efforts, such as pamphlets, booklets, videotapes, audiotapes, slideshows or Children's Cancer Research Fund’s Internet Web site, and social media sites.

In addition, I expressly grant this right to be used for educational, marketing and/or promotional information by Children’s Cancer Research Fund for its professional and staff communications, public relations, marketing (including social networking websites such as YouTube, Facebook and Instagram), and fundraising appeals.

I understand that Children’s Cancer Research Fund shall not be responsible for external media’s use of any films, photographs or interviews, or any information that I have consented to release.

Children’s Cancer Research Fund may use resulting media coverage in its internal or external promotional activities.

Virtual Programming and Oculus Disclaimer

Some people (about 1 in 4000) may have severe dizziness, seizures, eye or muscle twitching or blackouts triggered by light flashes or patterns, and this may occur while they are watching TV, playing video games or experiencing virtual reality, even if they have never had a seizure or blackout before or have no history of seizures or epilepsy. Such seizures are more common in children and young people. Anyone who experiences any of these symptoms should discontinue use of the headset and see a doctor. If you previously have had a seizure, loss of awareness, or other symptom linked to an epileptic condition you should see a doctor before using the headset. Please read the Oculus Safety Guide for more information.

I have read and understand the risk of using virtual reality technology for Camp Norden and consent for my camper to utilize this technology.

Indicate any limitations or NONE.
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