I understand that photos and videos of myself and my child may be taken during 4-H club programs and activities. These photos and videos may be shared via social media, website content, newsletters, interviews, magazines, newspapers, press releases, brochures, publications, grant updates, and via other promotional outlets and materials.

By agreeing to this policy, I agree to photo, video & media release for myself and/or my participating child(ren). I understand that I have no right to compensation with regard to the use of the images, videos, appearance, voice, project updates, or other activities as part of the 4-H program.

In the event of an emergency, the activity facilitator will contact me via the phone number or email I list on this form. Until I am able to be there, I hereby give permission to the designated facilitator or chaperone to seek any medical attention required for the health & safety of myself and/or my child(ren). I understand that all medical expenses incurred shall be the responsibility of the parent or legal guardian.