Photo Release Form for a Minor

I am the Legal Guardian of 

 

 

 

, a minor child participating in ART YARD BKLYN (AYB) Programs. I understand photographs are regularly taken and that we may be filming, taping and/or otherwise recording at times.

 

In consideration for 

 

 

 

being allowed to participate in ART YARD Programs, as a condition to his/her participation, and for other good and valuable consideration, receipt of which is acknowledged, I hereby grant to you, your licensees, successors, assigns and affiliates the right and permission to record, copy, edit, photograph, film and/or tape his/her participation in the Event in any and all manner and to publish, exhibit, reproduce, and perform his/her appearance and participation throughout the world in perpetuity, in any and all media whether now known or hereinafter developed.  Such rights include the right to use his/her image, likeness, voice, performance, biographical material and his/her name in connection with advertising, publicity, promotional purposes and for such other purposes as you determine.

 

I release the ART YARD BKLYN, Kentler International Drawing Space (our fiscal conduit and home base) and any affiliated or related persons or entities from any liability or damages as a result of or arising from the use of the rights granted herein, including without limitation from any claims of defamation, libel, slander, violation of right of privacy, publicity, droit morale, literary or dramatic rights and from any other cause of action arising out of production, duplication, broadcast, exhibition and promotion of the rights granted.

 

There will be no further consideration payable to him/her or me for any use made of the rights granted hereunder.  In no event shall I have the right to terminate any rights granted by me herein or to enjoin, restrain or in any way interfere with the use of the rights granted.  This release shall be governed by and construed in accordance with the laws of the State of New York and State of New Jersey applicable to contracts entered into and wholly performed therein.

 

I represent and warrant that I am Parent or Legal Guardian of

 

and I hereby agree that we shall both be bound thereby and that I have approved all of the terms of the release.  I hereby irrevocably release, discharge and indemnify you and all other parties in interest against any claims which may arise from any attempt of the above named minor to disaffirm or disavow this release.

 

Signature of Legal Guardian (entering your name below constitutes your legal signature)

 

Legal Guardian’s Address

 

 

Minor's Age

 

 

Today's Date

 

 

PLEASE PRINT THIS PAGE FOR YOUR
RECORDS BEFORE SUBMITTING FORM

CONTACT US AT

ART YARD BKLYN

Kentler International Drawing Space

353 Van Brunt Street

Brooklyn, NY 11231

Frida@ARTYARDBKLYN.org