NRA Annual Meeting & Exhibits
NRA Youth Day Registration
* Denotes a required field.

* Name:
Parent / Instructor Name:
School/Organization Name:
* Address:
* City:
* State:
* Zip:
NRA ID: (If known)
Phone Number:
Fax Number:
Email Address:

I grant the National Rifle Association of America (NRA), of 11250 Waples Mill Road, Fairfax, Virginia 22030-9400, the right to use,
publish and reproduce, at any time, any and all photographs, video and/or audio taken on April 12, 2015, in which is depicted my
image, likeness, and/or name, or the image, likeness, and/or name of the minor child for any editorial use, including composite or
distorted representations, promotion, advertising, or other purpose whatsoever.

I release NRA from any and all claims for damages for libel, slander, invasion of privacy or any other claim based on use of the
above-described material(s).

I hereby certify that I am of suitable age and discretion to execute this release, and, in the case of the minor child that I have the
authority to execute this release.

* Check this box if you have read, understand and agree to the Photography/Video/Audio Release.