Media Release Form

I, as parent or guardian of

, here by irrevocably grant Talk to the Camera (“TTTC”) the right to make VIDEO/AUDIO RECORDINGS AND/OR PHOTOGRAPHS of my child during TTTC classes and/or workshops to be used by TTTC for the making of the class video and for future TTTC marketing purposes. I, as parent or legal guardian, also irrevocably grant to TTTC, the right to use my child’s image in all forms and media for marketing purposes throughout the world. I waive the right to inspect or approve versions of said RECORDINGS AND/OR PHOTOGRAPHS.

I specifically give permission for my child to be included in the class video/videos to be filmed at

TTTC warrants that materials produced during its classes will be used for educational purposes and that it will not sell those materials. TTTC may use some of the materials produced for marketing purposes including, but not limited to, print ads and brochures and brief video clips on the TTTC website and/or on TTTC’s public YouTube and Vimeo channels.

I understand that TTTC will post the class video “privately” on vimeo, youtube, dropbox or the www.talktothecamera.com website for the families of all the children in the video to view and to privately share to their liking.

I further understand that TTTC owns the copyrights to all videos, recordings, or photographs made during TTTC classes, and that neither I nor my child(ren) may, without written permission from TTTC, alter, distribute, sell, post on public websites, or copy those materials.

I release TTTC its assignees, licensees and successors from any claims that may arise regarding the use of said recordings and images including any claims of defamation, invasion of privacy, or infringement of moral rights, rights of publicity or copyright.

My CHILD is under 18. I am the parent/legal guardian of the individual named above. I have had time to read and understand this release/waiver. I understand it is a binding legal document. By checking the box below, filling out the form, and “signing” my name by typing it on the line below, I am agreeing to be bound by its terms.

Clear Signature