Release And Authorization to Record
Releasor hereby authorizes Immanuel Lutheran School, Riverside, California to record pictures and voices on photographs, films and tapes, to edit these recordings into movie and sound films or tapes, broadcasts (radio and television) programs, or otherwise, and to use and license others to use such recordings, movie and sound films and tapes or broadcast programs in any manner of media whatsoever, including unrestricted use for purposes of publicity, advertising, and sales promotion and to use my child(ren)’s name, likeness, voice, and biographic or other information in connection therewith. Releasor further agrees to indemnify and save Immanuel Lutheran School, its licensees, agents, successors and assigns from any and all claims and liability, damages, losses, or expenses of any sort arising from the making of such recordings and their use. Releasor further acknowledges that were no promises of any compensation for such use by Immanuel Lutheran School or anyone associated with the latter and that Immanuel Lutheran School exclusively owns all rights to these recordings irrespective of the form in which they are produced or used. Releasor warrants that he/she has read and understood the contents hereof, and that he/she has the right and authority to execute this release and indemnification on behalf of the child(ren) named herein. In witness whereof, releaser has executed this release and indemnity at Immanuel Lutheran School on the date and year first above written.
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*Signature of authorization for social media/school website usage:
*Signature of REFUSAL for social media/school website usage:
*Signature of authorization for yearbook and assorted campus wide usage:
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