MEDIA RELEASE FORM

(Each participant including children must complete separate forms.)

I, hereby give permission to photograph me and my child) and to use audio and/or video equipment to record my participation in the National Federation of the Blind of Illinois (“NFBI”) Spring Seminar.   I grant permission to use said photos or recordings to promote the programs of the National Federation of the Blind (“NFB”) and the National Federation of the Blind of Illinois.

I also understand that print and visual media may be used to distribute information regarding my and/or my child(ren)’s participation in the program. It is understood that this material will be used solely for educational purposes or to promote the programs of the NFB and NFBI.