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Please complete and return by 3/29/02. We require a mailed (not faxed) copy of this form.

I acknowledge that I am the parent/guardian of the child named below and that I have read this consent and release and fully understand, and intend to be legally bound by, its content. I consent to the unrestricted use by the National SCRABBLE® Association ("the NSA"), Hasbro Inc. ("Hasbro") and MTV Networks and their affiliates, agents, employees, appointees and assigns of my name, filming, photograph(s), and likenesses of the child named below for editorial, publication or advertising purposes or purposes of trade. I also consent to the attendance and participation of the child named below in the Texas School SCRABBLE® competition on April 13, 2002 and irrevocably release the NSA, Hasbro and MTV Networks from any and all claims arising out of or related to the child's participation in the April 13, 2002 competition including but not limited to any responsibility or liability for damages, loss or injury resulting from the child's participation in the trip to the competition. I expressly and irrevocably release the NSA, Hasbro, and MTV Networks and their employees, licensees, licensors and assigns from all claims which I or the child named below may have for invasion of privacy, defamation or copyright infringement or any other cause or action arising out of or related to the child's participation in the April 20, 2002 competition or to the use or publication of the name, image or likeness of the child named below.

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  Signature of    ( ) Parent  ( ) Guardian        Date

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  Printed Name of Above                           Name of Child



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HASBRO is the owner of the registered SCRABBLE® trademark in the United States and Canada. © 2011 HASBRO. All rights reserved. "SCRABBLE® Brand Crossword Game" is the proper way to refer to this unique group of word games and related properties marketed by HASBRO. "SCRABBLE®" is not a generic term. To use it as such is not only misleading but also does injustice to the company responsible for the trademark's longtime popularity. All we ask is that when you mean SCRABBLE® Brand Crossword Game, you say so. 

The SCRABBLE® trademark is owned by J.W. Spear and Sons, PLC, a subsidiary of Mattel, Inc. outside of the United States and Canada. 

For more information about SCRABBLE® or the NSA, or to comment on or correct the contents of this page, please e-mail: 
For information about SCRABBLE® tournaments please visit our partner organization, NASPA. To report technical difficulties in reading this page,  please contact webmaster John Chew at: