• By completing and submitting the form below, I give my permission for the filming, photographing, interviewing, television, radio broadcasting, recording, or printing made of me on this date at Lorain County Community College. Furthermore, I assign all rights to Lorain County Community College and authorize the reproduction, broadcast, cablecast, Internet use, sale, copyright, exhibition, and/or distribution of said recordings and/or prints without limitation.

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  • If this form is being completed by a parent/guardian for a child less than 18 years of age, please provide the child’s name below. Use the information for the parent or guardian above.
  • Child's Name
  • What is your relationship to the child?: