Waiver - Photo/Video Release Form (Avalon Peninsula Region)

Any inconsistency between this Form as expressed in English and any other language shall, to the full extent permitted by applicable law, be resolved by reference to the English version. By signing my name, I (and my legal guardian, where applicable) acknowledge that I (or we) have carefully read and understand this Form.
Address(Required)
MM slash DD slash YYYY
I, the Participant, am over the age of 19 years old.(Required)