Please read and provide an e-signature on the consent form and photography release below as the parent/guardian.


In consideration of my/my children’s participation at Corazon Counseling Xinachtli Summer Camp, I hereby grant permission to Corazon Counseling, to utilize my appearance, performance or voice in any and all manner and media throughout the world for the purpose of promotion, reporting or publication. Corazon Counseling may use my/my children’s name, likeness, voice and biographical material in connection with publication, promotion, exhibition and distribution of such material. I understand that no royalty, fee or any other compensation of any kind shall become payable to me by reason of such release and use of any photograph.

Please indicate below whether you accept or decline this photography release by writing either "I accept" or "I decline."



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