4-H Consent and Release Form From time to time, photographs, videos, artwork, direct quotes, and/or audio clips of program participants may be taken of youth and adults attending Cornell Cooperative Extension events or participating in Cornell Cooperative Extensionâsponsored programs and activities.Cornell Cooperative Extension requests the right to use all such photos, videos, print material and/or audio clips taken of youth and adults involved in these programs and activities. They may be used for a variety of purposes, including, but not limited to, publications, promotional brochures, promotions or showcase of programs on our Web sites, showcase of activities in local and/or national newspapers or programming, and other similar lawful purposes.By signing this form, I consent and give permission to allow Cornell Cooperative Extension the unlimited right to use photos, videos, direct quotes, artwork and/or audio clips that they have of me participating in Cornell Cooperative Extension programs or events. I agree to give up my rights with regards to Cornell Cooperative Extension photos, videos, direct quotes, artwork and/or audio clips of me. Further, by signing this consent and release form, I acknowledge that I understand and agree to the above request and conditions. I sign this form freely and without inducement. Youth Name Age County City State Zip Email Phone Parent/Guardian Name By checking the box below and submitting this form, I agree to the following: I permit the use of my child’s name and county of residence with any photos, videos, or sketches of him/her taken during the activity for publicity, advertising and promotion.