Photo Release Form for Minors
Please review and sign below
I, ____(Enter adult name below)_______________ hereby grant and authorize
on behalf of the minor - Enter the name, age, and date of birth of minor:
(the “minor"), Silver Liming Foundation the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me to be used in and/or for any lawful promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites, social networking sites and other print and digital communications, without payment or any other consideration.This authorization extends to all languages, media, formats and markets now known or later discovered.This authorization shall continue indefinitely, unless I otherwise revoke this authorization in writing, or the minor(s) revokes this authorization in writing upon reaching majority age.I waive any right that I or the minor(s) may have to inspect or approve any finished product in which the minor’s likeness appears, including written or electronic copy.I agree that the minor(s) has been compensated for this use of his/her likeness or has otherwise agreed to this release without being compensated. I waive any right to royalties or other compensation arising or related to the use of the photograph. I understand and agree that these materials shall become the property of Silver Liming Foundation and will not be returned. I hereby hold harmless and release Silver Liming Foundation from all liability, petitions, and causes of action which I, my heirs, representative, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate and the minor(s) estate(s).I warrant that I am of full age and have every right to contract for the minor(s) in this regard. I state further that I have read the above authorization, release, and agreement, prior to its execution, and that I am fully familiar with its contents. This release shall be binding upon the minor(s) and me, and our respective heirs, legal representatives, and assigns.
Print Adult Name, Relationship to Minor, Signature and Date (This is a binding document)
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