I hereby grant permission to PACIFIC TIMES MAGAZINE to use my Photograph or my Child's Photograph on its website or in
other official printed publications without further consideration. I understand that PACIFIC TIMES MAGAZINE is a wholly owned
company of PUGUA' INTERNATIONAL CORPORATION and that use of photographs will not be limited to educational and commercial
purposes.
I also understand that once my image is posted on the PACIFIC TIMES MAGAZINE website, the image can be downloaded by
any computer user accessing the world wide web. There, I agree to indemnify and hold harmless from any claims the following:
+Board of Directors, Members & Staff.
PUGUA INTERNATIONAL CORPORATION
+Board of Directors, Members & Staff.
PACIFIC TIMES MAGAZINE
I REPRESENT THAT I AM OVER THE AGE OF EIGHTEEN AND I HAVE READ THE FOREGOING AND COMPLETELY UNDERSTAND
THE CONTENTS THEREOF:
Name:_________________________________________________
Date:________________________________________
Telephone:___________________________________________
Signature:___________________________________________________
