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I, on behalf of myself and my child(ren), hereby: Grant permission to Uptown Stories Inc. (“Uptown Stories”) without payment or any other consideration the rights of my Child(ren)’s (i) image, likeness and sound of their voice as recorded on audio or video tape, (ii) writings produced in conjunction with Uptown Stories’ lessons. I understand that my Child(ren)’s images or writings may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein same appears. Photographic, audio or video recordings and Child(ren)’s writings may be used for fundraising and other promotional and marketing purposes or in diverse educational settings, both in hardcopy and for electronic distribution. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.This form shall be signed by electronic signature, and the electronic signature below and their related fields are treated by Uptown Stories Inc. the same as would be a physical, handwritten signature on a paper form. By my signature below, I acknowledges that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for the purposes stated above.

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