Media Release Form (Participant & Spectator)
New Sport National Template
Prepared by: Charity Helpers Foundation
Date: 2025-06-13
Version: 1.0

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**Name (Print): __________________________________________**

☐ Participant        ☐ Spectator        ☐ Organizer

**Date of Event: _________________________**  
**Location of Event: _____________________**

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**MEDIA CONSENT STATEMENT**

I hereby grant permission to Charity Helpers Foundation, its affiliates, organizers, and authorized media partners to use photographs, video recordings, and/or audio recordings taken of me at this event for purposes including but not limited to:

- Public display on the official New Sport website  
- Educational and promotional materials  
- Event documentation and archiving  
- Social media posts and online features  
- Future fundraising and program awareness campaigns

I understand that:

- My image, voice, and likeness may be used without compensation  
- I waive any right to inspect or approve the finished product  
- This release is binding and irrevocable  
- My participation is voluntary and I may revoke consent in writing prior to the event (but not retroactively)

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**MINOR CONSENT**  
(If under 18 years of age, parent/guardian must sign below)

Name of Minor: ___________________________________________  
Parent/Guardian Name: ____________________________________  
Parent/Guardian Signature: ________________________________  
Date: ___________________________________________________

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**SIGNATURE (All Participants or Spectators)**

Signature: ________________________________________________  
Date: ____________________________________________________

Contact Email (Optional): _________________________________

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Return this form to the event organizer before participating or entering a designated media zone.