Your Name *

First Name

Last Name

Which of the following classes do you intend on attending? *

Select one or both.

April 3rd

April 10th

Guest Name

First Name

Last Name

I agree that University of Houston COOGS Program may take photographic (still picture or video tape and/or audio (voice)) images of me and/or my family for the purpose of promoting, explaining, or highlighting the agency or its programs.

I agree.

I agree that these images will be the sole property of University of Houston COOGS Program to use for any purpose consistent with University of Houston COOGS Program’s core values of integrity and respect.

I agree.

I agree that there will be no payment or compensation for the acquisition or use of these images.

I agree.

I understand that University of Houston COOGS Program staff and volunteers will make all reasonable efforts to respect my wishes; however, I understand that University of Houston COOGS Program cannot guarantee that photographic and/or audio images will not be taken by the University of Houston COOGS Program staff or any authorized or unauthorized person and I will hold University of Houston COOGS Program harmless for the actions of any or all persons who take or attempt to take photographic and/or audio images of me and/or my children.

I agree.

I have read and understood all of the commitments and terms explained above. By checking the boxes above and typing my name below, I agree to these terms.

I agree.

Type Your Name Below to Agree to Consent Terms

First Name

Last Name