Photograph & Video Release Form
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Photograph & Video Release
I hereby grant permission to The Painted Turtle and their respective affiliates including, but not limited to, SeriousFun Children’s Network, Inc., health partners, corporate partners, and authorized news media to use my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I
also understand that this material may be used in diverse educational settings within an unrestricted geographic area. I hereby waive any right to inspect and approve the uses to which it may be applied. Nothing herein will constitute any obligation of The Painted Turtle to use any of the above rights.

Photographic, audio or video recordings may be used for the following purposes:
     - conference presentations
     - educational presentations or courses
     - informational presentations
     - News media outlets 
     - social media (Facebook, Twitter, Instagram)
     - The Painted Turtle Website

By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting.

There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.

This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document only.

The Painted Turtle respects the privacy of its campers and their families and does not give permission for unauthorized visitors to photograph campers. If your child is involved with a child protective agency (e.g. Child Protective services, Department of Children and Family Services), further steps will be taken to gain permission regarding the use of your child’s images by The
Painted Turtle.

By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.
Name of the Event: *
Camper (Presenter) Full Name: *
Email address: *
Phone: *
Signature: *
Date: *
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If this release is obtained from a presenter under the age of 18, then the signature of that presenter’s parent or legal guardian is also required.
Parent / Legal Guardian Full Name (Print) *
Parent / Legal Guardian Signature *
Date *
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