Statement and Photo Release

"*" indicates required fields

MM slash DD slash YYYY

Release for the use of personal statement and photographs for publicity and/or commercial purposes granted to Rain Bird Corporation by: Name and address of individual making statement or photographic subject(s):

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Name*
Address*

LEGAL GUARDIAN FOR INDIVIDUALS 18 AND UNDER:

Name Legal Guardian
Address Legal Guardian
I (we),the undersigned hereby irrevocably authorize(s) Rain Bird Corporation to use my (our) statement as described above, image, likeness, name, video footage, audio recording, photographs or facsimile(s), however reproduced or disseminated for publicity, promotional and/or advertising purposes, without obtaining further consent and without payment or other compensation to the undersigned.

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