General Photograph/Video/Liability Release Form
MusicTech Kidsª/MusicTech Teensª/The Rosados/One World Artists, LLC
NATIONAL PUERTO RICAN DAY Parade Practices & Performance
in NYC May 1, 2018 to June 10, 2018
There is no financial compensation
provided by the ÒNATIONAL PUERTO RICAN DAY PARADE, IncÓ
to any involved with our production, therefore we are all volunteering our time.
It is for artistic expression, education and fun.
I hereby grant permission to the rights
of my image, likeness and sound of my voice as recorded on audio or video tape
in public places, with parents, and/or multiple adults present, without payment
or any other consideration, except for appreciation. I understand that my image
may be edited, copied, exhibited, published or distributed. Additionally, I
waive any right to royalties or other compensation arising or related to the
use of my image or recording, because I understand that it will be used to help
create a scholarship fund to assist the MusicTech Kidsª/MusicTech Teensª
training program. I also understand that this material may be used in diverse
educational settings within an unrestricted geographic area.
Photographic, audio or
video recordings may be used for the following purposes:_¥ Fundraising,
conference presentations, educational presentations or courses, informational, presentations,
on-line educational courses, educational videos
By signing this release, I understand
this permission signifies that photographic or video recordings of me or my
child, may be electronically displayed via the Internet or in the public
educational setting. All will be done in public settings with me or other
adults present. There is no time limit on the validity of this release nor is
there any geographic limitation on where these materials may be distributed.
This release applies to photographic, audio or video recordings collected as
part of the sessions listed on this document only. I acknowledge that I have
completely read and fully understand the above release and agree to be bound
thereby. I hereby release any, and all claims against any person or
organization utilizing this material for educational purposes.
Liability:
I release One World Artists, LLC & David Allan Musial dba MusicTech Kidsª/MusicTech
Teensª, as
well as The Rosados Family & St. MaryÕs RC Church
in Jersey City (practice location) , from any liability, in the event that my
child gets injured on the public property. (If they should trip or fall on
their own behalf.)
Student/Child
Name_________________________________________________ Age__________
Full Name____________________________________________________________________________
Street Address/P.O. Box________________________________________________________________
City_____________________________Postal Code/Zip
Code____________________
Phone _______________Fax _______________ Email_______________________________________
Address________________________________________________
Signature____________________________________________
Date____________________________
____________________________________________________
Date____________________________ Printed Name of Parent or Guardian_
David A. Musial. Executive
Producer. One Word Artists, LLC dba MusicTech Kidsª, MusicTech Teens & NextGen Stars¨