* Denotes required field.
1) I, the undersigned, hereby authorize Fayette County Board of REALTORS® to photograph me, takemotion pictures of me, take video footage of me, and/or make electronic soundrecordings of me (herein referred to as photographic or electronic reproductions).
2) I authorize the use of any such photographic or electronic reproductions of me for anypurpose, including, but not limited to educational and other public media as may bedeemed appropriate by Fayette County Board of REALTORS® (I understand that I may be identifiablefrom such photographic or electronic reproduction)
I certify that I am the parent or guardian of the individual above,a minorunder the age of eighteen years. I hereby agree to assume legal responsibility for his/herauthorizations referred to in this General Media Release.