Media Release Form
Montana State University Extension
Name of Participant:
Name of Event or Activity: 2022 Montana 4-H State Horse Show
Date & Location of Event or Activity: 9-11 of September 2022; The Cottonwood Event Center, Joliet, MT
The MSU Extension Service, 4-H may like to use photos or video of your child that was taken during the above event or activity to use in a press release and other publicity related to this event. The photo or film may be used for the following purpose: Website, Press Release, News Story, Marketing Materials, or other.
Do you authorize the use of photos or video of your child at this event or activity?
I consent and agree, individually and, as a parent or guardian of the minor named above, to the foregoing terms and provisions. By signing below, I hereby waive any right that I (and a minor) may have to inspect or approve the copy and/or finished product or products that may be used in connection therewith or the use to which it may be applied. I warrant that I am of full legal age and have every right to contract for the minor in the above regard. I have also read and understand the conditions of use listed below
Parent or Guardian Signature: Date: _____
- We will not use personal details or full names (first name and last name) of any child in a photograph on our .
- We will not include personal e-mail or postal addresses, telephone or fax numbers on our website or in other printed
- We may use the name of the child in accompanying text or a photo
- We may use group or photographs with very general
- We will only use image of children in suitable dress, to reduce the risk of inappropriate use of image.