I hereby confirm to Science Club for Girls, Inc. (together with its successors and assigns, the “Organization”) that I am the parent or legal guardian of my child (individually and collectively, “my child”), and I am at least eighteen (18) years of age and am fully competent to sign this media consent and release.
I hereby grant to the Organization and its agents the right: (1) to record, film, photograph or otherwise capture the image and/or voice of my child on videotape, photography, audio recording or other medium (whether digital, film, tape or otherwise) and to edit such video, photograph, audio recording or other medium at its discretion; and (2) to use such videotape(s), photograph(s), audio recording(s) or other medium(s) of my child or in which my child may be included, in whole or in part, or reproductions thereof for any legal purpose, including, without limitation, using such images or recordings in video projects, promotional or program materials (whether on the internet, disseminated by email or mail or any other format forum), training activities or any other programs or projects of the Organization and authorizing third-party vendors of the Organization to incorporate materials prepared by such vendors into such vendor’s business promotional materials; in each case of clauses (1) and (2) above, without payment or any other consideration; provided, that, my child’s full name shall not be identified in any such projects, promotional or program materials, training materials or other materials.
I hereby waive any right that I have to inspect and/or approve the finished product or the copy that may be used in connection therewith, wherein my child’s likeness or voice appears, or the use to which it may be applied.
I understand that the foregoing grant and waiver shall be irrevocable.
I hereby release and discharge the Organization, its officers, directors, employees, volunteers, attorneys, consultants, agents and representatives, past and present, of all claims, damages, liabilities, costs and expenses for which I or my child may now have or may hereafter have by reason of this authorization or the use of my child’s image and/or voice as herein provided.
I understand that the provisions of this media consent and release are legally binding.