Multimedia Release- Parental Consent for Photo, Videos, ect. -Challenge to Change

Multimedia Release- Parental Consent for Photo, Videos, ect.

I hereby grant Challenge to Change, INC. permission to use my likeness in a photograph, video, or other digital media in any and all of its publication, including web-based publications, without payment or other consideration.

I understand and agree that all photos and video footage will become the property of Challenge to Change, INC. and will not be returned.

I hereby irrevocably authorize Challenge to Change INC. to edit, alter, copy and exhibit, publish, or distribute these photos and video footage for any lawful purpose. In addition, I waive any right to inspect or approve the finished product. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photos or video footage.

I hereby hold harmless release, and forever discharge Challenge to Change INC. from all claims, demands, and causes of action.

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO/VIDEO RELEASE. I AFFIRM I AM AT LEAST 18 YEARS OF AGE OR IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCE BY AGREEING TO BELOW.

Child's First Name

Child's Last Name

Parent or Guardian's First Name

Parent or Guardian's Last Name

Relationship to the Child

Child's Birthdate

By signing below you are consenting to the above agreement.

Your Signature