Consent & Release of Liability Form

I  hereby consent to have my child, named above participate in Manhood 101 Mentoring Program (MH101). By consenting, I hereby release and hold harmless Omega Gold Development Group, Omega Psi Phi Fraternity, Inc. and all affiliate chapters, the Charles H. Flowers High School, Prince George’s County Public Schools and any of its teachers, staff, subsidiaries, affiliates, or successors of interest from any damages or legal liability of whatever kind related to me or my child’s participation MH101. I further, acknowledge and understand that participation in the MH101 is voluntary and that I am knowingly waiving my and my child’s right to seek any damages against any of the aforementioned organizations as a result of their participation in this event.

                   Photo Waiver

Omega Gold Development Group, inc and their affiliates periodically uses photographs, videos, profiles and stories for programs that are promotional, advertising, commercial, educational, research and/or archival in nature. As such, Omega Gold Development Group, inc and their affiliates collects on an ongoing basis individual and group photos
and testimonials relating to our volunteers, supporters and activities.
We ask for permission to use your (child’s) photo, videos, profile and/or story in promotional material to promote and benefit our projects and programs.

I hereby grant Omega Gold Development Group, Inc and their affiliates the irrevocable right and unrestricted permission to use and publish photographs or video images of me (my child), or in which I may be included, for any purpose authorized by Omega Gold Development Group, Inc, including but not limited to: website use, editorial publications, catalog and advertising use. This grant includes the right to modify and retouch the images in the discretion of Omega Gold Development Group, Inc. I understand that the circulation of such materials could be worldwide and that there will be no compensation to me for this use. Furthermore, I understand that I will not be given the opportunity to inspect or approve the finished products or the advertising copy or the printed matter that may be used in connection therewith. In granting this permission to Omega Gold Development Group, Inc and their affiliates, I am fully and without limitation releasing it from any liability that may arise from the use of the images.

 

 

Confirmation

By acknowledging and checking the box below, I am consenting my consent that will have the same effect as an original manual paper signature. The check box will be equally as binding as an original manual paper signature.