Wednesday, December 03, 2008

Permission to Broadcast

Date: ..........................
Event/Location: ...................................
hoofbeats! radio Volunteer Name:..............................

Permission Statement:
I acknowledge that my comment(s)/lecture/lesson/presentation/performance, and/or interview has been recorded. I provide permission for broadcast, all or in part.

[ Y / N ]E-mail notification of broadcast is requested.


Email:..................................
Participant Name/Signature
(Parent if under 18:................................

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