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Talent Release

I hereby assign and grant to the Boy Scouts of America the right and permission to use and publish my name/e-mail address/photographs/film/video tapes/electronic representations and/or sound recordings made of me by the Boy Scouts of America, and I hereby release the Boy Scouts of America from any and all liability from such use and publication.

I hereby authorize the reproduction, sale, copyright, exhibit, broadcast, electronic storage and/or distribution of said name/e-mail address/photographs/film/video tapes/electronic representations and/or sound recordings without limitation at the discretion of the Boy Scouts of America and I specifically waive any right to any compensation I may have for any of the foregoing.

Name:
Address:
City, State ZIP:
Phone number:
Photo session date:	/ /
BSA Council/Unit Number:	/

Signed:

Guardian:

Witness:

	(if subject is younger than 18)

Print this form and mail to:

Golden Empire Council
P.O. Box 13558
Sacramento, CA 95853-3558