| PUBLICITY RELEASE|
By submitting this form, you are authorizing Tennessee Valley Theatre to photograph, film, audio/video tape, record and/or televise your image and voice, and biographical material, in whole or in part in any medium now known or developed in the future, without any restrictions.
|Emergency Contact Name:|
|Emergency Contact Phone:|
|Are you aware of any current health problems?:|
|If "Yes", please explain.:|
| Code of Conduct|
All participants will show respect for others and the property and facilities used during this event and assume financial responsibility for any damages they cause.