Teen Leadership - Parent Permission Letter
Parental Consent for Release of Photograph & Video
Sign in to Google to save your progress. Learn more
Email *

 I hereby grant my child’s participation in approved Youth Empowered to Prosper (and those working on its behalf) in which she may be photographed or videotaped (the property) from time to time.

For valuable consideration received, you hereby irrevocably grant to YEP and its affiliates, other partnering organizations, perpetually, exclusively, and for all media throughout the world (including print, non-theatrical, my child’s photograph, video image, writing, voice recording, name grade level, school name, participation in activities and sport, diplomas and awards received, playbills, school productions, website, social media sites, internet, etc. and any other electronic medium presently in existence or invented in the future), the right to use and incorporate (alone or together with other materials), in whole or in part, photographs or video footage taken of you as a result of your participation in approved activities of YEP solely for the purposes of YEP promotional material and publications, and waive any rights of compensation or ownership thereto. You hereby agree that you will not bring or consent to others bringing claim or action against YEP on the grounds that anything contained in the Property, or in the advertising and publicity used in connection herewith, is defamatory, reflects adversely on you, violates any other right whatsoever, including, without limitation, rights of privacy and publicity.  You hereby release YEP, its directors, officers, successors and assigns from and against any and all claims, demands, actions, causes of actions, suits, costs, expenses, liabilities, and damages whatsoever that you may hereafter have against YEP in connection with the Property.

 

Parent/Guardian, by signing below this electronic document with your First and Last name, you have agreed to the above consent and this will serve as your electronic signature

*
Parent Email Address *
Child's First and Last Name *
Student ID *
Please note the Program Coordinator will contact you to confirm the receipt of this parent permission letter.  *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy