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2024 Special Events Medical and Publicity Release Form Please copy this form for EACH participant DO NOT MAIL THIS FORM Forms must be presented and matched with individual participants on the day
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A medical and publicity release is a legal document that authorizes the release of medical information and allows for the use of a person's likeness or image for publicity purposes.
Individuals who are seeking medical treatment or participating in activities that involve the use of their image or likeness for publicity purposes are required to file a medical and publicity release form.
To fill out a medical and publicity release, individuals must provide their personal information, authorize the release of medical information, and grant permission for the use of their image or likeness for publicity purposes.
The purpose of a medical and publicity release is to protect the privacy of individuals' medical information and to ensure that their image or likeness is used appropriately for promotional or publicity purposes.
The information that must be reported on a medical and publicity release includes personal details, medical history, authorization for medical information release, and permission for the use of image or likeness for publicity.
The penalty for late filing of a medical and publicity release may include fines, legal action, or restrictions on participation in activities requiring the release form.
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