Permisson and Consent for use of Image, Name, and Likeness

Dec 09, 2023 12:35 PM

Updated: July 28, 2023

I certify that I am the parent or legal guardian of a minor child or minor children enrolled with my consent and approval in dance classes and related activities associated with Zsa-Zsa Project, LLC. ("Duo Dance"). On my own behalf and on behalf of my minor child or children, permission and consent is hereby granted to Duo Dance to record imprints, photographically or digitally, of me individually, of my family members, and/or of my minor child or children, in or out of costume, for purposes of recording, chronicling, promoting or publicizing the history, activities, programs and performances of Duo Dance.

Permission and consent is further granted for use, without consideration, of said imprints, accompanied by the name(s) of the person(s) portrayed, in a variety of media and formats that may include, but are not limited to, photographs, films, video tapes, compact discs, program guides, posters, flyers, brochures, public service announcements, web sites, newspaper and
magazine articles and books. I acknowledge and understand that such use(s) of said imprints bearing my likeness or the
likeness of my minor child or children may occur without my inspection or approval of such use(s).

On my own behalf and on behalf of my minor child, any and all other rights in the name and likeness of my minor child or children are retained by me until his or her majority, including the right to require additional written consent to use of my minor child's name or likeness for any other purpose, or by any other organization(s) and to seek compensation and remuneration for any such use.