Young Inventors Showcase

30th Annual Young Inventors’ Showcase of Houston
Saturday, May 19, 2018
The "University of Houston

Media Release


Please print the information of the Inventors’ Showcase participant:

Name: _________________________________________________     

Age: ___________     Grade level in school: ___________________


I give my permission to the University of Houston and the Young Inventors Association of America to use the photographs and other media of my family taken during the 28th Annual Young Inventors’ Showcase in any University publications, other promotional pieces, and media publications.  I certify that I have the right, capacity, and authority to provide this consent and I release the University and Young Inventors Association of America from any actions or claims that might arise from the use of the photographs and media.

Parent/Guardian Name: ____________________________  Daytime Phone: __________

Street Address: ___________________________________________________________

City: __________________________________ State: _______  Zip: ________________

Email: ______________________________________

Parent/Guardian Signature: _____________________________ Date: _______________


Application Page (1) (2) (3) (4) (5)

Application Download (PDF)

Young Inventors’ Showcase Application pg.4 of 5


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