DillyDally with Dalí Virtual Registration

Parent/Guardian Name*

First Last

Email*

Child Name*

Child Date of Birth*

Release Form*

I grant to The Salvador Dalí Museum (the “Museum”), its representatives and employees the right to photograph and film my child and/or myself in connection with his/her participation in educational programming offered by the Museum. I authorize the Museum, its assigns and transferees to copyright, to use and publish the same in print and/or electronically.

I agree that the Museum may use such photographs and/or film of my child and/or myself with or without his/her name and for any lawful purpose, including for example, purposes such as publicity, marketing, illustration and Web content.

I have read and understand the above:

Yes, I agree,

Verification

Name

This field is for validation purposes and should be left unchanged.