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S4SC Media Consent form

S4SC Media Consent Form
Student Age *

I certify that I am the parent/legal guardian of the minor child named above. I hereby grant permission to Students 4 Social Change (S4SC) employees, contractors, licensees, volunteers, and affiliates to record audio/video of virtual classes, sessions, and other meetings related to my child’s participation in S4SC programming, in the interest of safety and quality control. I further consent to the publication of my child’s work, which may include audio/video, written material, and/or my child’s first name, on websites associated with United 4 Social Change (U4SC), in perpetuity. I hereby waive all rights, if any, to inspect or approve materials for publication and receive compensation.

I acknowledge that I have read and understand this form prior to signing, and it shall be binding upon me, my heirs, assigns, and legal representatives.

I certify that I am the student named above and a legal adult, aged 18 or over. I hereby grant permission to Students 4 Social Change (S4SC) employees, contractors, licensees, volunteers, and affiliates to record audio/video of virtual classes, sessions, and other meetings related to my participation in S4SC programming, in the interest of safety and quality control. I further consent to the publication of my work, which may include audio/video, written material, and/or my first name, on websites associated with United 4 Social Change (U4SC), in perpetuity. I hereby waive all rights, if any, to inspect or approve materials for publication and receive compensation.

I acknowledge that I have read and understand this form prior to signing, and it shall be binding upon me, my heirs, assigns, and legal representatives.

Clear
Clear

Optional

I certify that I am the parent/legal guardian of the student named above. I hereby grant permission to Students 4 Social Change (S4SC) employees, contractors, licensees, volunteers, and affiliates to record audio/video of virtual classes, sessions, and other meetings related to my child’s participation in S4SC programming, in the interest of safety and quality control. I further consent to the publication of my child’s work, which may include audio/video, written material, and/or my child’s first name, on websites associated with United 4 Social Change (U4SC), in perpetuity. I hereby waive all rights, if any, to inspect or approve materials for publication and receive compensation.

I acknowledge that I have read and understand this form prior to signing, and it shall be binding upon me, my heirs, assigns, and legal representatives.

Clear