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Waiver and Order Form for DVD
In Recent years Hoosier Boys State has produced a DVD that captures the thrill and vitality that is the Boys' State experience--allowing participants to remember their colleagues and experiences, and enabling families to participate in HBS vicariously. Last year, for the first time, delegates actually participated in the shooting and editing of footage—
adding perspective and verve to the film. (This is no sleepy documentary for the faint of heart). The DVD always includes
significant footage from the Talent Show. Waivers/orders may be submitted any time during the week but presenting them at registration is encouraged.
1) Waiver Form (Everyone fill out please)
I give Hoosier Boys State permission to film and reproduce the image of (name)________________________.
It is understood that these images will be used for the Hoosier Boys State DVD only and for possible Boys State promotional work. Images will not be sold to people outside of the HBS organization and will be used for HBS purposes only.
Name of Parent/Guardian:
(please print)________________________________________
Phone number (____)_________________________________
Signature of parent/guardian
___________________________________ date: __________________
2) Order Form
Please print clearly as this will serve as the mailing
label.
(Name)____________________________________
(Address)___________________________________
___________________________________________
Please check box if multiple copies ordered
Questions? Email us: bryan@smithpoint.net
One DVD: $20 Additional copies may be ordered for $10 each (Shipping & Handling are included)
TOTAL $___________________ (Check / Cash)
Please make checks out to DocuSmith
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