Student Registration and Media Release Consent

MEDIA RELEASE AND CONSENT FORM

I, ____________________________, am the parent or legal guardian of ____________________________ ("Child").

I hereby grant permission to Little Smiles, Inc., its employees, volunteers, partners, and authorized representatives to photograph, videotape, record, and/or otherwise capture the likeness, image, voice, and appearance of my child during Little Smiles events, programs, activities, or related functions.

I understand and agree that these photographs, videos, recordings, and other media may be used by Little Smiles for educational, promotional, fundraising, marketing, and public relations purposes, including but not limited to:
  • Social media platforms
  • Website content
  • Printed materials and brochures
  • Newsletters and email communications
  • Annual reports
  • Event presentations
  • Advertising and fundraising campaigns
  • Television, news, and other media outlets

I understand that no compensation will be provided to me or my child for the use of these materials, and I waive any right to inspect or approve the finished product or the specific use to which it may be applied.

I release and hold harmless Little Smiles, Inc., its directors, officers, employees, volunteers, and representatives from any claims, demands, or liabilities arising from or related to the use of such photographs, videos, recordings, or other media.

This authorization is voluntary and shall remain in effect unless revoked in writing. Any revocation will apply only to future uses and will not affect materials already published or distributed.

By signing below, I acknowledge that I have read and understand this Media Release and Consent Form and voluntarily agree to its terms.