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MASSACHUSETTS INSTITUTE OF TECHNOLOGY PARENTAL CONSENT/ MEDICAL & EMERGENCY CONTACT FORM Student Name: Last First Middle Home address: Student Cell Phone (if applicable): Birth date: Parent or Legal

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What is liability media release form?

The liability media release form is a document that allows the individual to release the media company from any liability related to the use of their image or likeness in publications or broadcasts.

Who is required to file liability media release form?

Anyone who is participating in a media event or activity where their image or likeness may be used by the media company is required to file a liability media release form.

How to fill out liability media release form?

To fill out a liability media release form, the individual must provide their personal information, sign and date the form, and indicate their consent for the media company to use their image or likeness.

What is the purpose of liability media release form?

The purpose of a liability media release form is to protect the media company from any legal claims or actions related to the use of an individual's image or likeness in their publications or broadcasts.

What information must be reported on liability media release form?

The liability media release form typically requires the individual's name, contact information, signature, date, and consent for the media company to use their image or likeness.

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