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THE ART IN MOTION DANCE CENTER PHOTO/MEDIA RELEASE FORM:
I hereby grant the Art In Motion Dance Center permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
I understand and agree that all photos will become the property of the Art in Motion Dance Center and will not be returned.
I hereby irrevocably authorize the Art In Motion Dance Center to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.
I hereby hold harmless, release, and forever discharge the Art In Motion Dance Center from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I HAVE READ AND UNDERSTAND THE ABOVE PHIOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR ACCEPTANCE OF THESE MEDIA TERMS.
In the event of a minor injury (fall, scrape, strain, or sprain) Art in Motion Dance Center will (if applicable) clean wound, apply ice and/or bandage, and if necessary, call a parent or emergency contact person. In the event of a medical emergency, Art in Motion Dance Center will call 911 and call a parent or emergency contact person.
I grant Jessica Franklin Slatkovsky, Art in Motion Dance Center, its agents and employees permission to authorize any emergency medical treatment that may be required for my child.
As a parent/guardian of a minor student at Art in Motion Dance Center, I hereby release and discharge Art in Motion Dance Center, Jessica Franklin Slatkovsky and all employees and staff of Art in Motion Dance Center from all claims, demands, actions, judgments, and executions which the undersigned's heirs, executors, administrators, or assigns may have, or claim to have, against Jessica Franklin Slatkovsky, Art in Motion Dance Center, it's successors or assigns, for all persons injuries caused by, or arising from the above described activities or activities related thereof.
I have read, understand and accept the Rules and Regulations of Art in Motion Dance Center and the Tuition Policies of Art in Motion Dance Center.
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