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PARENTAL
AUTHORIZATION AND RELEASE |
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Subject:
PARENTAL AUTHORIZATION AND
RELEASE FORM; MATHEWS UMC, GREENWOOD, SC
Date:
_______________________, 2008
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1. |
For good and valuable consideration, the sufficiency
of which is hereby acknowledged, I hereby grant to
Mathews United Methodist Church, Greenwood, South
Carolina, along with its agents, successors, assigns
and licensees (the “Church”), the right to use,
publish, distribute, exhibit, advertise and exploit my
photographs, pictures, portraits, images, and likeness of
my minor child, __________________ (“my Child”)
(hereinafter collectively “Photography”), in and
in connection with any and all informational,
marketing, advertising and any other form or type of
material or web site pertaining to, for or on behalf
of the Church or any of its parent or affiliated
companies, in all manner, form and media, whether now
known or hereafter developed, throughout the Universe,
in perpetuity. |
2. |
I agree that all such Photographs, and the
copyright(s)
embodied therein, are owned exclusively by the Church,
and that the Church or its designee(s) may register
such copyright(s). If I or may Child should
receive any print, negative or other copy of the
Photography, I/we will not authorize use by anyone
else. I further acknowledge and agree that neither I
nor my Child has or shall have in the future any
ownership interest whatsoever in any copyright(s) (i)
in the Photography; or (ii) in any of the
informational, marketing, or advertising material, or
any other material which utilizes, incorporates or
consists of the Photography. |
3. |
I agree that no material need be submitted to me for
any further approval and that The Church shall be
without liability to me or my Child for the use or
alteration, in any fashion, of the Photography or any
portion thereof. |
4 |
I consent to
the use of my Child’s name or any fictitious name
that may be chosen in connection with the Photography. |
5. |
I warrant and
represent that this release does not in any way
conflict with any existing commitment by or on the
part of my Child. |
6. |
Nothing herein
shall constitute any obligation on the Parish to make
any use of any of the rights granted or reserved
herein. |
7. |
MY CHILD IS NOT
CURRENTLY A MEMBER OF ANY PERFORMING ARTIST UNION. |
8. |
This consent
and grant of rights is given in exchange for valid
consideration and is irrevocable so that the Church
may proceed in reliance thereon. |
9. |
This release
shall be governed by the internal laws of the State of
South Carolina. Notwithstanding any provision of
law to the contrary, no ambiguity in this release, if
any, shall be construed against the Church as the
draftsman. Any dispute which may arise between
the Church and me, including but not limited to
disputes regarding interpretation of this general
release, shall be resolved by an action brought by
either party against the other only in the courts
located within Greenwood County, South Carolina, and I
hereby expressly consent to exclusive jurisdiction
therein. |
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NAME
(PRINT): _______________________________________
SIGNATURE:
_________________________________________
SOCIAL
SECURITY #: __________________________________
ADDRESS:
___________________________________________
PHONE:
_____________________________________________
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