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River City Choirs Photo & Location Waiver

indicates a required answer

1. *

I hereby grant permission to the Jefferson City Home Educators (JCHE) to take photographs or videos of the above named minor child or dependent adult, and to make recordings of the above named minor child’s or dependent adult’s voice and image as indicated below: (Please check one choice in the blank.)

 

I grant permission for JCHE to use my child's image and voice recordings. I deny permission for JCHE to use my child's image and voice recordings.

 

By GRANTING permission, I am giving the JCHE permission to use these images, videos, and recordings, as well as the above named minor child’s or dependent adult’s likeness and voice within the bound of those directives, as follows:

• The use may include reproduction, distribution, derivative works, display, and performance, both private and public.

• The use may be in composite or modified forms and in any media, now known or later developed, including without limitation newspapers, television, radio, the World Wide Web, and social media.

• The use may be for any purpose throughout the world and in perpetuity, including, without limitation, education, trade, advertising, and promotion.

I further acknowledge that I will not be compensated for these uses, and that the JCHE exclusively owns all rights to the images, videos, and recordings, and to any derivative works created from them. I waive the right to inspect or approve the uses of any printed or electronic copy. I hereby release JCHE and its assigns and licensees from any claims that may arise from these uses, including without limitation claims of defamation or invasion of privacy, or of infringement of moral rights or rights of publicity or copyright. This Release is binding on me, my heirs, assigns, and estate. JCHE is not obligated to use any of the rights granted under this Release. This Release expresses the complete understanding of the parties.

2. *

Location waiver: I will not hold the River City Choirs rehearsal or concert location, its employees, or volunteers responsible for any and all liability including personal injury, financial costs, property loss or damage.

 (1 required)
I agree
3. *

Parent name: 

4. *

Child(ren)'s names: 

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