Women’s March, Inc. Photo Release Form for Youth Wave: Pre-Women’s March Gathering
Women’s March, Inc. Youth Empower
Youth Wave: Pre-Women’s March Gathering
January 17, 2020

I agree that Women’s March, Inc. may photograph and record my child/dependent’s likeness and activities (Images) during the event on Friday, January 17, 2020. I grant the following rights to Women’s March, Inc.: permission to use and re-use, publish and re-publish, and modify or alter the Image(s) taken during the event. Use of the Images for editorial, commercial, trade, advertising, and any other purpose may be done in any medium now existing or subsequently developed, on the Women’s March, Inc. and Youth Empower website and on the Internet, and worldwide in perpetuity for the purposes stated above.

I waive my right to inspect or approve any editorial text or copy that is used in connection with the Images and release and discharge Women’s March, Inc. from any and all claims arising out of use of the Images for the purposes described above, including any claims for libel, invasion of privacy, or other tortuous act.

I have read the foregoing. I fully understand its contents, understand that this agreement does not expire, and confirm my agreement by signing below. I am over the age of 18 and have legal capacity to sign the release or I have permission from my parent/guardian for this photo release form.


*Image means all photographs, film, or other recordings taken of you as part of the event activities.

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Email *
Youth's Name *
Primary Address *
Age *
Date of Birth *
Youth Over the Age of 18 Signature: I understand by inputting my name below, I am providing a signature in effect. I am affirming that I am at least 18 years old and able to provide this signature.
Parent/Guardian's Name (If you are over 18 and signing on your own behalf, you can write N/A) *
Parent/Guardian Signature: I understand by inputting my name below, I am providing a signature in effect and giving permission for the above. (If you are over 18 and signing on your own behalf, you can write N/A) *
Parent/Guardian Email (If you are over 18 and signing on your own behalf, you can write N/A) *
Parent/Guardian Phone Number (If you are over 18 and signing on your own behalf, you can write N/A) *
Date *
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