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Release Form for Media Use (Only one person per form) I, the undersigned, do hereby grant or deny permission to NAFCC to use my image or the image of my child, (please print name of person in media) ,
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Document Date: 2014-08-01 07:10:21


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File Size: 59,27 KB

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City

Salt Lake City / /

IndustryTerm

digital media / /

Organization

National Association for Family Child Care / /

ProvinceOrState

Utah / /