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Photo Release

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sohome23c
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47 views2 pages

Photo Release

Uploaded by

sohome23c
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Photo and Video


Consent, Assignment and Release Form

PURPOSES: For marketing, advertising, promotional and/or communication purposes, the YMCA may, from time to time, take photographs and/or
video recordings of YMCA based activities or events that include real people, which photographs and video recordings will be placed in the YMCA
National Photo Bank and which may be used by any YMCA in Canada (the “Purposes”). For purposes of this Form, “YMCA” refers to the local
YMCAs and YMCA---YWCAs in Canada and to YMCA Canada, the national association of local YMCAs and YMCA---YWCAs across Canada.

By signing this Form, you are consenting to the taking of photographs and/or video recordings of you and/or your child _______________(child’s
name) by the YMCA for the Purposes, you are assigning to the YMCA, and waiving any rights you have related to, any such photographs and/or
video recordings, and you are consenting to the use of any such photographs and/or video recordings, in whole or in part, by the YMCA for the
Purposes.

For valuable consideration received but without any promise of remuneration, I hereby agree to allow photographs and/or video recordings to be
taken of me and/or my child, whether posed or candid, while on YMCA property and/or participating in YMCA activities or events, to be used by
the YMCA in connection with the Purposes, whether on the YMCA’s internet web site, in YMCA printed materials, or in any other medium (the
“Work Product”). I confirm that the YMCA shall not be obligated to use the Work Product.

I understand that the Work Product is being created under the direction and control of the YMCA. I hereby irrevocably assign to the YMCA any
and all rights, including copyright, financial or moral, that I may have in the Work Product. I agree that the YMCA has the sole worldwide
ownership and rights in and to the Work Product, including copyright interests, and I acknowledge that I have no interest or ownership in the Work
Product or its copyright. Photos and/or video recordings will not be sold to third parties and will not be used by third parties except in cases where
a third party has been contracted by the YMCA to create the Work Product.

I agree that I will not bring or consent to others bringing a claim or action against the YMCA on the grounds that anything contained in the Work
Product, or in the manner in which the Work Product is used, is defamatory, reflects adversely on me, or violates any other right whatsoever,
including, rights of privacy and publicity. I hereby release and forever discharge each of the YMCAs, its officers, directors, employees, agents,
partners and affiliates, and their respective heirs, executors, personal legal representatives, successors and assigns, as applicable, from all actions,
claims, causes of action, suits, demands, liabilities and damages whatsoever, in law or equity, which I may have against any of them in connection
with the Work Product.

I confirm that I am over the age of 18 and am competent to execute this Form and to participate in the development of the Work Product; or, to
the extent that I am under the age of 18, have had my parent or guardian review this Form and consent to my participation in the creation of the
Work Product on my behalf.
Any inconsistency between this Form as expressed in English and any other language shall, to the full extent permitted by applicable law, be
resolved by reference to the English version. Les parties ont convenu de rediger cette entente en anglais.

By signing my name, I (or my legal guardian) acknowledge that I (or we) have carefully read and understand this Form.

Date:

Print Name: Telephone No.:

Address:

Signature of Witness Name of Participant (under 18years of age)

Name of Parent or Guardian, if applicable

OR , I only give permission for the YMCA to use photographs and/or video recordings of my child _____________(child’s name) to appear in the
child care program décor as part of the YMCA Playing to Learn and YMCA A Place to Connect curriculum.

__________________________________ ___________________________________
Signature of Witness Name of Participant (under 18years of age)

___________________________________

Name of Parent or Guardian, if applicable

YMCC-0004 07/14
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