Media Release Form-Blackpool Dance Fest

Media Release Form

First Name

Last Name

Address

Phone Number

I grant permission to Blackpool Dance Festival and Dance TV, hereinafter referred to as "media" to use my image (photographs and/or video) for us in media publications including (check all that apply)

Videos including live

Social Media including live

Website

I hereby waive any right to inspect or approve the finished photographs or electronic, matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image and/or electronic matter.

I agree

I am 18 years of age or older and I am competent to contract in my own name.

I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

I am the parent or legal guardian of the below named child. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

I agree and I am:

Over 18 Years

I am the Parent/Legal Guardian

If signing on behalf of your child, please write their full name below.

Your Signature

Date