B.Tweenz - BE the Change - Burton Photography

Burton Photography

166 Chapel Hills Road

Boone, NC 28607

NCphotographer.com 828-266-9889 burton@ncphotographer.com

Tweens have SUPERPOWERS! B.Tweenz matches the enthusiasm and energy of tweens with service opportunities in the High Country. Tweens CAN make a positive impact in their community - they CAN be the change they want to see in the world.

Tween's First and Last Name

Tween's age:

Current grade and school:

Parent Information:

First Name

Last Name

Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Phone

Release and Hold Harmless

I (being at least 18 years of age) and/or my minor child listed in this form, do hereby for myself, my successors, heirs and assigns, fully and completely RELEASE and HOLD HARMLESS B.Tweenz/Burton Photography and their officers, servants, agents and employees from any and all claims, demands and actions that I and/or my minor child may have, or that my successors, heirs or assigns may have, on account of loss, damage or injury, including personal injury, that I and/or my minor child may sustain while volunteering. I hereby voluntarily assume all risks, known or unknown, from volunteering for B.Tweenz/Burton Photography. I fully understand that I and/or my minor child will not receive any compensation and that volunteers are NOT considered employees of B.Tweenz/Burton Photography.

We will be photographing the tween team as they participate in volunteer projects. By signing, you are granting permission for those images to be shared publically.

Signature

To accept this contract, type your name below

Date

B.Tweenz - BE the Change

B.Tweens - BE the Change