Image Release: On behalf of my minor child, I hereby acknowledge and voluntarily consent to the use of my child’s photograph, video footage or other likeness and description of her/him (collectively, the “Likeness”) by Science Club for Girls, Inc. (including its successors and assignees, “SCFG”) in any of SCFG’s website, video projects, organizational communications, promotional materials, including but limited to social and other media, as SCFG sees fit from time to time, in edited or unedited state, whether individually or collectively, for any and all purposes consistent with SCFG’s mission and 501(c)(3) tax exempt status. I understand that my child’s first name may be disclosed but that SCFG will not, without my prior written consent, disclose my child’s full name. I release SCFG (including but not limited to its current and former employees, officers, directors and agents) from any liability for any and all claims of any kind on account of, arising out of or relating to the use, publication, duplication, dissemination, public display or other use or disclosure of the Likeness. I understand and agree that neither I or my child will receive any compensation for the use, publication, duplication, dissemination, public display or other use or disclosure of the Likeness, and that neither of us have a right to inspect or approve any finished product or program incorporating the Likeness. I further understand and agree that SCFG is the sole owner of any and all Likenesses. I understand that I have the right to revoke this authorization at any time. In order to effect a revocation, I understand that I must notify SCFG in writing, directed to the Executive Director. I understand that the revocation is only effective after it is received by SCFG and that any use or disclosure made prior to the such receipt will not be affected by the revocation, nor will the revocation apply to uses or disclosures made in reliance on this release. I understand that the provisions of this release are legally binding. *
