The submission of this form acts as your official signature.

I am the parent or legal guardian of [Child Named Below] and grant Sacred Lotus Blossom, LLC [Party Receiving Permission] my permission to record and use video as well as photographic footage while participating in the Sacred Lotus Blossom: Rites of Passage for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content.

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Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Your signature is your submission.

Thanks for submitting!