Camp Pals 2007 Camper Photo/Video Release

By signing below I, , hereby give Camp Pals, Avi Setton, and Tyler Savage
(the filmmakers) full permission to use any photograph or video footage of my
child, , myself, and any guests I bring to Camp, for the currently titled
documentary, ‘Camp Pals,’ and permission to publish and/or display these materials – in the film
or for any promotion thereof. I hereby waive to the fullest extent that I may lawfully do so, any
causes of action in law or equity I may have or may hereafter acquire against the Releasees or
any of them for debt, liabilities, libel, slander, invasion of privacy, copyright or trademark
violation, right of publicity, or false light arising out of or in connection with the utilization by
the Releasees or another of the Released Subject Matter.

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Camper Signature

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Parent Signature

Date