Photo/Medical Release
Dec 21, 2024 07:12 PM
Parent Release Form for Photography and Videography
PLEASE PRINT, SIGN, & RETURN before your 1st lesson.
I, the undersigned, give permission for JBP Entertainment to use video footage and / or photographs of my child/ward for studio advertisement, _________________________________.
This usage may include (but is not exclusive to) displaying publicly, distributing, or publishing, photographs, and/or video of my child for use in materials that include, but may not be limited to:
- printed materials (eg - brochures and newsletters) - online and offline advertising and promotion
- videos and digital images such for use on Social Media.
By signing this form, I acknowledge that I am giving unrestricted permission for my child’s image to be used in print, video, and digital media. I agree that these images may be used by JBP Entertainment for a variety of purposes and that these images may be used without further notification. I do understand that any identifying information including surname and location will not be used in conjunction with any video or digital images.
Parent/Guardian signature __________________________ Date ______________
Health Information and Medical Release/Waiver Form I, _________________, the parent/guardian of
_________________________,
acknowledge that participation in dance is potentially dangerous and the is an inherent risk of injury involved.
In allowing my child to participate in JBP Entertainment activities, I hereby assume all the risks associated with the performing arts. I understand the importance of myself and my child following the instructions and rules set by their instructor/s, and I agree to release JBP Entertainment and it’s employees of any and all liability which may arise as a result of my child’s participation in activities at JBP Entertainment. I also agree that my own personal insurance policy will be the only form of reimbursement _________(Please initial)
__________________________________ Please Print First and Last Name
___________________________________(Signature of Parent/Responsible Guardian) ________________________________________ (Date)