Media Consent
MEDIA CONSENT FORM AND CONSENT TO USE PHOTOGRAPH OR VIDEO/AUDIO RECORDING OF MINOR PARTICIPATING IN PROGRAM/ACTIVITY AND WAIVER AND RELEASE
Please Read Carefully Before Signing
This Is a Consent and Release of Liability and Waiver of Certain Legal Rights
Consent to Use Photograph or Video/Audio Recording:
It is possible that your child will be photographed or included in video/audio recordings taken while participating in hockey games, practices, or other programs and activities of the GBNHC. On some occasions, your child’s photograph or video/audio recording of your child’s image may be used in connection with GBNHC media publications, the GBNHC web site, the promotion of the GBNHC, and/or other purposes within the discretion of the GBNHC.
I, without any further compensation, grant permission and consent to the GBNHC to photograph, videotape, audiotape, or interview my child while participating in GBNHC practices, games, programs, and activities for the Spring 2022 Season and to use and to identify pictures, videotapes, and/or audio recordings of my child, by my child’s full name, for use in connection with GBNHC media publications, the GBNHC web site, the promotion of GBNHC programs/activities, and/or other purposes within the discretion of the GBNHC. I also consent to the GBNHC’s use of my child’s name, photograph or likeness, voice or creative work(s) on the internet or on a CD or any other electronic/digital or print media for the Spring 2022 Season.
Waiver and Release:
I waive any right of inspection or approval of my or my child’s picture, name, voice, likeness, creative work(s), and/or any material concerning my child or the uses to which such picture, name, voice, likeness, creative work(s), and/or any material concerning my child may be put. GBNHC shall have the sole and exclusive right to copyright any such material that contains my or my child’s picture, name, voice, likeness and/or any material concerning my child. I also waive any right to review or approve any such use in whatever form without restriction as to alteration, modification, or format change and also waive any right to inspect or approve any context, copy, caption or description that accompanies the subject matter of the grant. I acknowledge that the GBNHC is not required to use any picture or video/audio recording of my child. Additionally, I, on behalf of my minor child, and for my or my child’s heirs, personal representatives or assigns, release and forever discharge the GBNHC, their directors, officers, agents, employees, volunteers and any of their independent contractors (collectively, “GBNHC Parties”) from any and all claims and liabilities of any kind which may arise from the use of my child’s picture, name, voice, creative work(s), and/or likeness. I further acknowledge and agree that I, my child, any other parent/guardian of my child, will not receive any compensation in connection with the use of his/her picture, name, voice, creative work(s), and/or likeness by the GBNHC.
Pictures Taken By Non-GBNHC Parties
While the GBNHC may attempt to limit access to it games, practices, and other programs/activities to certain persons or agencies, it has no duty to do so and it may not have control over photographs and/or video/audio recordings which may be taken by other participants or volunteers/persons/agents accompanying participants and their actions to publish, share or otherwise disseminate a picture and/or video/audio recording of a named or unnamed minor participating in the program or activity, including your child.
I acknowledge that my child’s picture, voice, and/or likeness may be taken by others outside of the control of the GBNHC and I, on behalf of my minor child, and for my or my child’s heirs, personal representatives or assigns, release and forever discharge the GBNHC from any and all claims or liabilities of any kind which may result from the use, publication and/or dissemination of such likenesses outside of the GBNHC’s control.
Voluntary Grant of Consent and Ability to Revoke Consent
The GBNHC is requesting that Parents/Guardians provide this consent on a voluntary basis only. Parents/Guardians are not in any way required to provide this consent and release as a condition to their child’s participation in programs and/or activities of the GBNHC. If consent is given by a parent/guardian, such consent may be revoked at any time. If a parent/guardian revokes consent, that revocation is not retroactive and therefore it does not apply to an action that occurred before the consent was revoked. If a parent/guardian wishes to revoke consent given herein, the parent should contact the Vice President and provide his or her revocation in writing.