Vidya Mandir Students Registration

Parent Information All fields required!

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Student(s) Information All fields required!

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Parent Consent All fields required!

Minor / Child Photo Media Release form (For Participants under the age of 18)
I do here by consent to the publication of my child's name and/or my child's likeness that include, but not limited to, still photographs, sound and/or video recordings, part of brochures, publications, webpages, electronic, tangible work in any media or format, now known or hereafter to become known, for the purpose of education, publicity, advertising and of other manner of media by SJSGC, or any other representative authorized to act on behalf of it. I agree that the actual material involved is and shall continue to be the property of the SJSGC and that neither I nor my child shall have any rights of review or approval regarding the use of my child's name and/or Likeness in such materials. I hereby hold harmless, and release SJSGC along with their respective employees, volunteers, or other representative from any and all liabilities, demands, or causes of action arising out of use of my child's name and/or likeness, in accordance with the terms of this release. I understand and agree that neither I, nor my child, will be compensated in any way for the use of my child's name and/or likeness by SJSGC.

Payment Information All fields required!

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sjsgc.vidyamandir@gmail.com add the note "Vidyamandir 24"

Shri Jagannath Society of Greater Chicago.

Mail to: 2295 Church Rd, Aurora, IL, 60502

Payment Confirmation All fields required!

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