RELEASE AGREEMENT FOR KIDS
“Cultural Maps, Cultural Tours”
Thank you for allowing your child to participate in the Dane County Cultural Tour. By signing the form below, you give your permission for the Center for the Study of Upper Midwestern Cultures to:
By giving your permission you do not give up any copyright or other rights that you may hold.
In any publication and in the archives, children will only be identified by their first names.
I agree to the uses of these materials described above except for any restrictions listed below.
Signature of parent _________________________________
Signature of child __________________________________
Printed name of parent ______________________________ Date _________
Printed name of child ______________________________
Restrictions in effect until: _____________________
This page last updated on November 5, 2002