Please fill out the Membership Registration Form, the Photo Consent Form,
and submit your payment. GRAZIE!!
I hereby grant the I.I.P.A. (Italian International Parents Association) permission to use my child/children likeness in a photograph in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property I.I.P.A. and will not be returned.
I hereby irrevocably authorize I.I.P.A. to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing the Department of Labor’s programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.
I hereby hold harmless and release and forever discharge I.I.P.A. from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I hereby certify that I am the parent or guardian of the child(ren) listed below and do hereby give my consent without reservation to the foregoing on behalf of this person.
Your support and contributions will enable us to meet our goals and in bring and sharing fun, cultural events. Your registration fee will help fund our mission.