North County Wildcats
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                                                                      • BASIC ALL-AMERICAN SCHOLAR RULES
                                                                                                                          North County Pop Warner Photo Release

                                                                      I hereby grant North County Pop Warner and its authorized agents permission to use my child's likeness in photograph(s)fvideo in any and all of its publications and in any and all other media, whether known or unknown or hereafter existing, controlled by North County Pop Warner, in perpetuity, and for other use by the association. I will make no monetary or other claim against North County Pop Warner for the use of the photograph(s)video.

                                                                      Child's Name (print full name) __________________________________________________________________________

                                                                      Parent/Guardian (print full name) ________________________________________________________________________

                                                                      Parent/Guardian Signature _____________________________________________________________________________

                                                                      Relationship to subject (if subject is a minor) _______________________________________________________________

                                                                      Address ____________________________________________________________________________________________

                                                                      City, State, Zip code ___________________________________________________________________________________

                                                                      Telephone ___________________________________________________________________________________________

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