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CHI-AU PAIR“go”AMERICA

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CHI-AU PAIR“go”AMERICA

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									                                       Opening Doors to the World since 1980!
                             · CULTURAL HOMESTAY INTERNATIONAL ·
                                      ——— A NON-PROFIT EXCHANGE PROGRAM———




  PERMISSION & RELEASE OF AU PAIR PARTICIPANT
        PHOTOGRAPHS FOR THE BENEFIT OF
            CHI AU PAIR USA PROGRAM



I_________________________________ give CHI Au Pair USA permission
         Name of Au Pair

to use, free-of-charge, photographs of our family and of our au
pair, taken during our participation in the CHI Au Pair USA
program. We understand these photographs are to be used on the CHI
Au Pair USA website or in CHI Au Pair USA printed materials.

CHI Au Pair USA will not sell or give away these photographs to
anyone else to use. All photographs published by CHI remain the
property of the au pair participant or the host family.




_______________________________        ______________          ____________
Au Pair Signature                       Au Pair Code               Date


_______________________________                                ____________
CHI Au Pair Director                                               Date




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