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I am 13-years-old or older and by checking the Publicity Eligible checkbox, I grant Make-A-Wish Colorado the authorization and right to use my likeness, whether embodied in photographs, videotapes, recordings or any other format, as well as information I have submitted on this form, for purposes of promotion, publication, commercial advertising or any other purpose, now or at any time in the future.
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October 21, 2017
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