Media, Photo & Video Release Form

The New West Willow’s Generations Together Program may take photos during program activities,  sessions, and events. These images and recordings may be used by the Program for informational,  news, promotional, and fundraising purposes. Images may be used in press releases, printed  publicity, and/or published on the Neighborhood Association’s social media pages. Photos,  recordings, and all other captured media will be stored securely. Photos may also be shared with  other organizations, such as funders, supporters, or other collaborators for the above stated  purpose(s). If you would prefer for you and/or your child not to be photographed or recorded, please  speak to the coordinator of the program you are participating in before the session begins.

 

 

Please check one box:

I understand that during the course of my child’s participation in the above-referenced activity, that the Program, and those acting with the Program’s permission or authority, may capture my child’s name, likeness, image, or voice in photographic, audio, video, digital or other recording forms (“Recordings”). I give my permission for the Program to use those recordings or works produced by my child (e.g., art work) for promotional, commercial, informational, and educational purposes in any and all media (including the Internet) now existing or hereafter devised, for any purpose consistent with the Program’s mission. I understand that I will not have an opportunity to review or approve uses of the Recordings or Works. 

I recognize that the Program holds the copyright in all Recordings. I understand that neither my child nor I will receive payment or any other compensation for the taking or use of any Recordings or Works created as a result of my child’s participation in the Program. 

I release, indemnify and hold harmless the program from and against all liability, actions, debts, claims and demands of every kind whatsoever to the taking or use of the Recordings or Works of my child.

I do not grant permission to the Program to take or use my child’s name, likeness, image, or voice in any form or to use work produced by the child for any reason unless necessary for the administration of the Program while my child is participating in the Program.