Programs
Events
Opportunities
Site Search
Search the Leadership Lancaster website
Search for:
Login
Portal Login
Email Address
Password
Remember Me
About
Contact
Support
Donate
Site Search
Login
Donate
Programs
Events
Opportunities
Programs
Events
Opportunities
About
Contact
Support
Donate
Model Release Form
.
Name
*
First
Last
Preferred Email
*
Participation Waiver
WAIVER AND RELEASE IN FAVOR OF LEADERSHIP LANCASTER
*
WAIVER AND RELEASE IN FAVOR OF LEADERSHIP LANCASTER - CLICK TO VIEW
I ACKNOWLEDGE THAT I HAVE READ THIS WAIVER AND RELEASE AND AGREE TO BE BOUND BY ALL OF ITS TERMS WITH FULL KNOWLEDGE OF THEIR SIGNIFICANCE AND CONSEQUENCES.
Model Release
By checking the box below I DO/DO NOT authorize Leadership Lancaster to use my likeness for the advertising and promotion of Leadership Lancaster on the organization website or other publicity information sponsored by Leadership Lancaster.
*
I Consent To The Use Photographs Containing My Image
I Do Not Consent To The Use Photographs Containing My Image
CAPTCHA
Δ
