I grant UCP of Sacramento and Northern California permission to take or have taken still photographs or videos and films including television pictures of me and use them without restriction.

I further consent and authorize UCP of Sacramento and Northern California, it’s advertising agencies, new media, and any other persons interested in and its work, to use and reproduce the photographs, films, and pictures and to circulate and publicize the same by all means including without limiting the generality of the foregoing newspapers, television media, social media, brochures, pamphlets, instructional material, books and clinical material.

With respect to the foregoing materials, no inducements or promises have been made to me to secure my signature to this release other than the intention of UCP to use or cause to be used such photographs, films, and pictures for the primary purpose of promoting and aiding UCP and its work.

By signing this form, I agree to hold harmless and release UCP of Sacramento and Northern California and UCP staff from any liability incurred for any injury to myself from participation in UCP Camp.  

I am aware that UCP Camp involves a variety of activities that may involve potential risk of bodily injury and harm as well as the possibility of unexpected consequences as is true of any outdoor adventure with a group of people.

I further agree that should I sustain an injury to myself and/or property I agree to hold harmless and release of UCP of Sacramento and Northern California and respective staff and agents from any and all liability incurred for any injury from participation in UCP Camp.

Further, I agree that the terms hereof shall serve as a release and assumption of risk for heirs, executors and administrators and for all members of my family including any minors.