Media Release Consent Form
Curated Space Counseling & Consulting, LLC
on behalf of the ‘She’s THAT Girl’ Conference recognizes the need to ensure the welfare and safety of all young people taking part in any activity associated with our business.
I hereby consent to the publication and use of my child’s name and/or my child’s likeness
(“Likeness”) for the purpose of promotion, publicity, advertising, or other manner or media by
the Curated Space Counseling & Consulting, LLC on behalf of the ‘She’s THAT Girl’ Conference or any other representative authorized to act on behalf of the afore-mentioned entity. Likeness shall include, but not be limited to, photographs, sound and/or video recordings, films, broadcasts, brochures, publications, reports, web pages, promotional materials or any other audio-visual, electronic, printed, tangible work in any
media or format, now known or hereafter to become known, and/or reproductions of any of
these. I agree that the actual material involved is and shall continue to be the property of Curated Space Counseling & Consulting, LLC and the ‘She’s THAT Girl’ Conference that neither I, nor my child, shall have any right of review or approval regarding the use of my child’s name and/or Likeness in such material.
I hereby release and hold harmless, Curated Space Counseling & Consulting, LLC and the ‘She’s THAT Girl’ Conference along with their respective employees, agents, affiliates, sponsors, or other representatives from any and all claims, demands, or causes of action arising out of the use of my child’s name and/or Likeness, in accordance with the terms of this release. I understand and agree that neither I, nor my child, will be
compensated in any way for the use of my child’s name and/or Likeness by Curated Space Counseling & Consulting, LLC and the ‘She’s THAT Girl’ Conference.