Elite Performance Academy
Media Release Form
I, hereby grant Elite Performance Academy permission to use photographs, videos, and/or audio recordings of myself (or my child, if participant is under 18 years old) taken during dance classes, rehearsals, performances, or related events for the following purposes:
1. Promotional Materials: Including but not limited to brochures, flyers, posters, banners, websites, social media platforms, and advertisements to promote Elite Performance Academy and its programs.
2. Educational Purposes: Including but not limited to educational presentations, workshops, lectures, and demonstrations conducted by Elite Performance Academy or its representatives.
3. Archival Purposes: Including but not limited to maintaining historical records of Elite Performance Academy's activities and achievements.
I understand that the photographs, videos, and/or audio recordings may be used indefinitely by Elite Performance Academy and its affiliates, and I waive any right to inspect or approve the finished product, including written copy that may be created in connection therewith.
I hereby release, waive, discharge, and covenant not to sue Elite Performance Academy, its owners, instructors, employees, and agents from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to the use of the photographs, videos, and/or audio recordings, including without limitation any claims for invasion of privacy, defamation, or copyright infringement.
I certify that I am at least 18 years old and have read this media release form in its entirety and fully understand its contents. If the participant is under 18 years old, I certify that I am the parent or legal guardian of the participant and have the authority to consent to the terms of this media release form on their behalf.
Participant's Signature (if 18 years old or older): ________________________________
Participant's Name (Printed): ____________________________
Date: ____________________
Parent/Guardian Signature (if participant is under 18 years old): ________________________________
Parent/Guardian Name (Printed): ____________________________
Date: ____________________
Please note that Elite Performance Academy respects your privacy and will not sell or distribute your personal information to third parties without your consent. Thank you for your cooperation.
Elite Performance Academy
819 10th Avenue
Huntington, WV 25701