Buddy Bradley Booking & Image Release Form

Name

First NameLast Name

Email

example@example.com

Ticket prices for this event are £6 full price/ £4 students, unwaged, low income.

Please pay via TDRN UK PayPal and list your full name in the payment details.

Thank you.

Tap Dance Research Network UK will document and archive activities through recorded and still images for the purposes of supporting education and research. We may use still images in our social media and web-based content.

Should we wish to share these materials with third parties for commercial use, then you will be contacted separately to seek your permission.

Your image is your personal data and it will be processed in accordance with data protection law based on the consent you provide in this form. You have the right to withdraw your consent at any time please email info@tdrnuk.com and we will stop processing your image.

You can find our Social Media Policy and Privacy Policy online at http://tdrnuk.com/.

I hereby grant the releasee permission to use photographs and recorded image in any of the following:

Recording of online events to be archived and distributed for education and research purposesSocial media promotionWeb-based publicationsI DO NOT give my consent for any of the above

I hereby affirm that such release to the releasee does not constitute any form of compensation, including royalties arising from the photographs, to my benefit.

I understand and agree that recorded and still images in the possession of the releasee shall become the property of the releasee. The use and publication of the photographs however, shall conform to my rights as a subject of said photographs.

I hereby waive my right to inspect of approve the photographs by which my likeness appears.

I hereby hold harmless, release, and forever discharge the Tap Dance Research Network UK from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

Age of Consent

I am of legal ageI am a minor and represented by my parent/guardian

I declare true my age of consent, and in case I am under the age of such consenting age, I have obtained the required consent from my parents/guardians as evidenced by the signatures below:

Name of Person Subject of Recorded or Still Images

Signature

Name of Parent/Guardian of Person Subject of Photograph

Signature of Parent/Guardian

Date SIgned

Date