GroovaRoo Dance ™ Image Release Form

I hereby grant GroovaRoo Dance™ (the “Company’) its agents, employees, licensees, and successors in interest, permission to use the image and likeness of myself and/or the child or children listed below in photographs, video recordings or electronic images in any reproduction of them in any form in any media whatsoever (including without limitation, print publications, public broadcast, websites or social media), whether now known or hereafter created, throughout the world in perpetuity for any lawful purpose, including without limitation, trade, exhibition, illustration, promotion, publicity, advertising and electronic publication. I hereby waive any right that I may have to inspect and/or approve the use of the Images or any reproductions thereof, by GroovaRoo Dance™. Additionally, I waive any right to royalties or other compensation arising or related to the use of our image.

I hereby release and hold harmless GroovaRoo Dance™ from any reasonable expectation of privacy or confidentiality for myself and for the minor child and children listed below associated with the images specified above. Further, I attest that I am the parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize GroovaRoo Dance™ to use their likenesses and names. I further acknowledge that participation is voluntary and that neither I, the minor child, nor minor children will receive financial compensation of any type associated with the taking or publication of these photographs or participation in either of the Company’s marketing materials. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I hereby release the Company, their contractors, employees and any third parties involved in the creation or publication of the Company’s publications, from liability for any claims by me or any third party in connection with my participation or the participation of the minor children listed below.
I understand that GroovaRoo Dance™ is not responsible for any expense or liability incurred as a result of our participation in this recording, including medical expenses due to any sickness or injury incurred as a result. I state further that I have read the above authorization, release, and agreement, prior to its execution, and that I am fully familiar with the contents of it. This release shall be binding upon the minor and me, and our respective heirs, legal representatives, and assigns.

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Joyful Connections

167 Beaumont Drive

Vista, CA 92084

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