By signing this form, I give consent to the co-sponsors, Golden Gate Summer Basketball Shootout Foundation, Inc. to use and reproduce the name, photos and artwork of the student named below in all media that use this material for editorial and publicity purposes. I understand that the student's work may be exhibited or sold in association with all activities of the Golden Gate Basketball Shootout Foundation, Inc. I understand that any money derived from the sale of the student's work will go to benefit the Golden Gate Summer Basketball Shootout Foundation, Inc., a non-profit corporation.

By signing this form, I also release:
· the co-sponsors from any claim I or the student might have because of the use of the student's name and artwork;
· the co-sponsors' affiliated companies and businesses, its advertisers and agencies, making use of the student's name, photos and artwork; and
· the director, officers, employees or agents of any of the above organizations.

I acknowledge that:
· the student and I will receive no money from the co-sponsors for giving this consent and release;
· I am the parent or legal guardian of the student; and
· I have read and understand this form.

PLEASE COMPLETE AND SUBMIT THIS FORM TO:
Golden Gate Summer Shootout Foundation
PO Box 312
Vallejo, CA 94590

QUESTIONS? Call Skip Corsini 415-485-5384 or scorsini@earthlink.net