Please print this page, have your parent or guardian complete the section below, and bring it with you to the class.

This event may be photographed for an amateur radio magazine. The second signature below gives permission to use those images.


Scout ________________________________________________ of Unit _______________
has my permission to participate in the Radio Merit Badge course.
In the event of an emergency, I authorize any necessary medical
treatment in the event that I can not be reached at


Parent or Guardian Signature: ________________________________Date: ___________


I, the undersigned, freely give to the ARRL, the American Radio Relay League,
and their legal representatives, successors, and all persons, organizations,
or corporations acting with their permission unrestricted permission to
copyright and/or use, and/or publish photographic portraits or pictures of my
child(ren), and the negatives, transparencies, prints, videotapes, or digital
information pertaining to them, in still, single, multiple, moving or video
format, sounds, audio, or in which my child(ren) may be included in whole or
in part or composite, or distorted in form, or reproductions thereof, in color
or otherwise, made through any media in their studio, on websites or emails or
elsewhere for art, or any other lawful purpose. I hereby waive any right that
I may have to inspect and approve the finished product or copy that may be used
in connection with an image that the Photographer has taken of my child(ren),
or the use to which it may be applied. I further release the Photographer, the
ARRL or others for whom he/she is acting, from any claims for remuneration
associated with any form of damage, foreseen or unforeseen, associated with the
proper commercial or artistic use of these images unless it can be shown that
said reproduction was intentionally maliciously caused, produced and published
for the sole purpose of subjecting myself or my child(ren) to conspicuous
ridicule, scandal, reproach, scorn and indignity. I acknowledge that the
photography session was conducted during a routine amateur radio exercise,
and this release was willingly signed. I certify that I am the legitimate parent
or legal guardian of the child(ren), and am free and able to give such consent.

Parent or Guardian Signature: ________________________________Date: ___________

Date: Saturday, January 7, 2023
Time: 8:45 AM to 3:00 PM
Location: Armstrong Hall, The College of New Jersey, 2000 Pennington Rd, Ewing NJ 08628-0718