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Www. sportandmedicalsciences. org 280 Huyshope Ave Hartford CT 06106 860 695-6900 Dr. Beth Schiavino-Narvaez Superintendent of Schools John P. Laverty Principal Karin Bertero Assistant Principal Alison Giuliano Sarah Rubelmann Magnet Theme Coach Media Appearance Release Form I the undersigned authorize Hartford Public Schools to record on video tape photography voice recording or interview through print or other media my child s name voice image and/or performance for informational programs...
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