Photo Consent Form UMPS CARE Photo Release Form We ask participants to sign the photo consent form so we can put program photos in our promotional materials. Please submit the form below before the event you will be attending. Photo Consent If you are human, leave this field blank. I grant to UMPS CARE Charities, and it's partner organizations (including MLB.com and all Major and Minor League Teams), along with its representatives and employees the right to use photographs or filmed footage of me and/or my child Print Full Name * and my property in connection with the above-identified subject. I authorize UMPS CARE Charities, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that the above mentioned parties may use such photographs/ footage of me without my name for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. Signature * Clear Printed Name * Address * Address Street Address Street Address Street Address Cont. Street Address Cont. City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Agency Name * Ballpark City * Event Date * Signature, parent or guardian Clear (if under age 18) Date Submit Questions Contact UMPS CARE with any questions you may have! Contact Us Today!