I hereby authorize As Good as Gold – Golden Retriever Rescue of Illinois, hereinafter referred to as “AGaG” to publish photographs taken during the Parade Your Pooch Fun Walk on October 4, 2015 of myself and/or the minor child or children listed below, and our names and likenesses, for use in AGaG’s print, online and video-based marketing materials, as well as other AGaG publications.
I attest that I am the parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize AGaG to user their likenesses and names.
I acknowledge that participation is voluntary and that neither I, nor the minor child(ren) will receive financial compensation of any type associated with the taking or publication of these photographs or participation in AGaG marketing materials or other AGaG publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties upon me and/or my minor child(ren) whatsoever. I waive any rights to approve the finished product, now or in the future.
Printed Name: _____________________________________
Signature: _____________________________________ Date: ________________________
Address: _____________________________________ City: ________________________
State: _____ Zip: _________ Relationship to Children:____________________________
Names and Ages of Minor Children:
Name: ______________________________________ Age: ________________________
As Good as Gold – Golden Retriever Rescue of Illinois is a membership-based, volunteer-supported 501(c)(3) non-profit organization.
As Good as Gold – Golden Retriever Rescue of Illinois is dedicated to the rescue, care and adoption of Golden Retrievers and golden mixes who are in need. In addition, As Good as Gold educates Golden Retriever guardians and the general public about the importance of spaying/neutering, positive training methods, diet and exercise, appropriate medical treatment and humane care.