I am the [ ]parent or [ ] legal guardian of the child named below (“Child”):
Full name of the child - [Insert Name of the Child]
Age: [Insert Age] years
Home Address [Insert Address]
I hereby grant and authorise the ACCOUNT_JOB_COMPANY located at ACCOUNT_JOB_ADDRESS_SINGLE_LINE (the “Releasee”) the right to edit, enhance, crop, alter, modify, amend, copy or otherwise make use of all MEDIA taken of my Child, for use in any of the Releasee’s publications or any for use in any other manner the Releasee desires, without any consideration or other payment.
I hereby grant and authorise the Releasee the right to edit, enhance, crop, alter, modify, amend, copy or otherwise make use of all MEDIA taken of my Child, for use in any of the Releasee’s publications or any for use in any other manner the Releasee desires, without any consideration or other payment.
This grant of authorisation includes publications by the Releasee’s on mediums including, but not limited to, the Internet, e-mail, magazines, flyers, and advertisements.
I understand and agree that all MEDIA are the property of the Releasee and will not be returned to me.
I hereby waive the right to any compensation, including but not limited to any royalties, arising from the use of the MEDIA.
I, hereby agree, to hold harmless, release and discharge rights to all claims, demands, and causes to action which the Releasee, the Releasee's heirs, representatives, executors, administrators, or any other persons acting on behalf of the Releasee's estate have or may have by reason of this authorisation.
This Release shall continue indefinitely unless the I withdraw the consent provided herein, at any time by writing by email to the Releasee at ACCOUNT_EMAIL or by post to ACCOUNT_JOB_ADDRESS_SINGLE_LINE
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