“Manhood Boot Camp”
sponsored by Winsome Ministries, Inc.
P.O. Box 124
Perrineville, NJ 08535
Phyllis Hilliard, Facilitator Phone: 732-877-0010
www.winsomeministries.org Fax: 609-918-1590
Dear Parents/Guardians:
While participating in the “Manhood Boot Camp” program, there may be pictures or video taken of the participants. As a result, your child/children may be included in the pictures and/or videos taken. We ask that you grant permission for the sponsoring school/organization and the “Manhood Boot Camp” program and affiliates to have your child/children’s picture(s) for newsletters, newspapers, yearbooks, programs or videos to be used for promotional/instructional purposes.
Please fill out the appropriate information below and return to the school/sponsoring organization prior to the start of this program. If you have any questions or need additional information, please contact the school/organization or myself at:732-877-0010.
Thank you,
Phyllis Hilliard
Facilitator
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_____Yes, I give permission for the sponsoring school/organization and the “Manhood Boot Camp” program and affiliates to utilize pictures and/or video taken of my child/children listed below during this program.
_____No, my child/children listed below cannot be videotaped or have their pictures taken for any purpose.
Child/Children’s Name/Grade
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Parent/Guardian Signature _____________________________Date:______________