This letter confirms the agreement between you and the Surprise Lake Society, operators of the Surprise Lake Camp (the Camp), regarding the participation of your child in activities which may be photographed or videotaped (the Property) from time to time. 
For valuable consideration received, you hereby irrevocably grant to the Surprise Lake Society, perpetually, exclusively, and for all media throughout the world (including print, non-theatrical, home video, CD-ROM, internet and any other electronic medium presently inexistence or invented in the future), the right to use and incorporate (alone or together with other materials), in whole or in part, photographs or video footage taken of you as a result of your participation in activities of Surprise Lake Camp. 
You hereby agree that you will not bring or consent to others bringing claim or 
action against the Surprise Lake Society, or Camp, on the grounds that 
anything contained in the Property, or in the advertising and publicity used in 
connection herewith, is defamatory, reflects adversely on you, violates any other 
right whatsoever, including, without limitation, rights of privacy and publicity. You 
hereby release Surprise Lake Society and Camp, its directors, managers, staff members, officers, successors and assigns from and against any and all claims, demands, actions, causes of actions, suits, costs, expenses, liabilities, and damages whatsoever that you may hereafter have against Surprise Lake Society in connection with the Property. 
This agreement shall not obligate Surprise Lake Society, or the Camp, 
to use the Property or to use any of the rights granted hereunder, or to prepare, 
produce, exhibit, distribute or exploit the Property. 
Surprise Lake Society shall have the right to assign its rights hereunder, without your consent, in whole or in part, to any person, firm or August 25, 2016corporation. 
	AGREED TO AND ACCEPTED this 	day of 	, 20___

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Signature, Parent/Guardian					Witness

	Telephone Number  (………) …………………………………

	Print name of Participant: 	_