Release For Minors - Girl Scouts Of Southwest Texas

Download a blank fillable Release For Minors - Girl Scouts Of Southwest Texas in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Release For Minors - Girl Scouts Of Southwest Texas with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

 
 
Girl Scouts of Southwest Texas
MEDIA RELEASE
DATE(S):
LOCATION:
ACTIVITY:
RELEASE FOR MINORS
For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I hereby
consent and agree to the following:
1. I hereby grant to Girl Scouts of the USA (“GSUSA”) and Girl Scouts of Southwest Texas (“GSSWT”), as well as
others working for GSUSA/GSSWT or on its behalf, and each of its respective licensees, successors and assigns
(each a “Releasee”), the irrevocable, royalty-free, perpetual, unlimited right and permission to use, distribute,
publish, exhibit, digitize, broadcast, display, modify, create derivative works of, reproduce or otherwise exploit
my name, picture, likeness and voice (including any video footage of the same) (collectively, “Media”), or to
refrain from so doing, anywhere in the world, by any persons or entities deemed appropriate by GSUSA/GSSWT,
for any purpose (except defamatory) including, without limitation, any use for educational, advertising, non-
commercial or commercial purposes in any manner or media whatsoever (whether known or hereafter
devised) including, without limitation, on the internet, in print campaigns, in-store and via television. I agree that
I have no interest or ownership in any of the Media.
2. I shall have no right of approval, no claim to compensation and no claim (including, without limitation, claims
based upon invasion of privacy, defamation or right of publicity) arising out of any use, alteration, blurring,
illusionary effect or use in any composite form of my name, picture, likeness and voice. I agree that nothing in
this Release will create any obligation on GSUSA/GSSWT to make any use of the Media or the rights granted in
this Release. I hereby release and hold harmless Releasees from any claim for injury, compensation or
negligence resulting or arising from any activities authorized by this Release and any use of the Media by
GSUSA/GSSWT.
NAME OF MINOR (please print):_____________________________________________________
ADDRESS: ___________________________________________________________________
CITY___________________________________ STATE_______________ ZIP_____________
DAYTIME PHONE: (____)________________ ALT. PHONE (optional): (____)___________________
Release for Minors (those under the age of eighteen): I, the undersigned, being a parent or guardian of the minor,
hereby consent to the foregoing conditions and warrant that I have the authority to give such consent.
NAME OF PARENT/LEGAL GUARDIAN (please print):_______________________________________
SIGNATURE OF PARENT/LEGAL GUARDIAN (REQUIRED):____________________________________
DATE:____________ PARENT/LEGAL GUARDIAN EMAIL*:_________________________________
(*will not be used for any other purposes or distributed to third parties)
07/13

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go