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Media Release Form

Throughout the year, we may highlight players to promote Progressive Youths Soccer Club (PYSC) activities and achievements. We may feature players in photographs to increase awareness of our soccer program through platforms such as Facebook, Instagram, and our PYSC website.

Please initial below.

As the parent or guardian, I hereby grant PYSC and its employees, representatives, and authorized media organizations permission to print, photograph, and record my child for use in audio, video, film, or any other electronic, digital, and printed media. I release and relieve PYSC, its Board of Directors, and its employees from any liabilities, known or unknown, arising out of the use of this material. I certify that I have read the PYSC Media Consent and Release Liability statement and fully understand its terms and conditions.

I hereby attest that I am the legal parent/guardian of the child(ren) listed below. This consent is effective until such time as I revoke it in writing and provide a copy of the revocation to Progressive Youths Soccer Club (PYSC).

(Print full legal name of minor.)

Please complete and return this release form within ten (10) days from the date of this distribution. If you have any questions regarding this process, please contact info@goyouths.org.

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June 23, 2024 9:23 am EDT

Media Release Form Uploaded by Kevin Blackstock - info@goyouths.org IP 74.108.125.27