Notice: Psi Theta Omega Chapter of Alpha Kappa Alpha Sorority, Incorporated (“PTO”), may capture photographs, video, audiotape and other image and sound-based media of your participation during its events. PTO may wish to use such photographs for the use of its organization, including its website, advertising, and other purposes. This permission for release, without compensation or prior notice, allows PTO to use such photographs in its electronic or printed form. This permission of release further allows the participant to enjoy the benefits of the event organized and provided for by PTO. By attending this event and signing the event roster, the participant has freely and voluntarily consented to the use and publication of his/her name, participation, picture, and/or likeness by PTO and/or its agents for any and all purposes including, but not limited to, serving the community through illustrating Alpha Kappa Alpha’s dedication to “Service To All Mankind”. The participant further waives any claims against PTO and/or its agents based upon or related to its use or publication of his/her likeness, voice, participation, and/or picture. The participant freely gives this authorization without expectation of compensation.

Alpha Kappa Alpha Sorority, Inc. • Psi Theta Omega Chapter • Post Office Box 560542 • Orlando, Florida 32856-0542

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