First Name: Last Name: Email: Number of Attendees: I authorize Healing Hearts Connection and its agents and all persons acting under its authority to promote Hearts of Hope Family Grief Camp and Healing Hearts Connection, to use written statements, videotapes and recordings of me or my family. I waive any right to inspect or approve the finished product or the advertising or other copy, which may be used in connection or the use to which it may be applied. I release and discharge Healing Hearts Connection its agents and all persons acting under its authority, from any liability for any violation of any personal or property rights which I might have in connection with such materials.