During the program, we will take data, pictures and video of the participants, adult supervisors, staff and student volunteers participating in the event. These photos are used within the program and in professional presentations, public relations and marketing efforts on behalf of Explore the Magic of Motion LLC, hosts, registered volunteers and organizations affiliated with the event.

 

I give permission 

 

        to be photographed or videotaped, and for the photos to be used in educational presentations (to healthcare professionals, families, patients, referral sources and payers, in the media (including newspapers, magazines, television, social media and radio), marketing presentation and publications such as brochures, annual reports, pamphlets, newsletters, etc. produced by or about Explore the Magic of Motion LLC, hosts, registered volunteers and organizations affiliated with the event.

 

I understand that this permission is given for five years from the date below. I also understand that there is no payment due me as a result of these granted permissions. I absolve Explore the Magic of Motion LLC, certified hosts, registered volunteers and organizations affiliated with the event from any liability of the use of my photograph and/or video.

 

I also understand I can withdraw my permission to be photographed or videoed at any time.

 

  to have data collected such as age, workshop scores and zip code, during the event may be used by third parties, however, identifying information such as my name and date of birth will be removed prior to distribution.

 

  I agree to be responsible for the conduct and actions of my child/children and/or myself and to release Explore the magic of Motion, host and organizations affiliated with the event from any claims and demands that may occur during participation in Explore the Magic of Motion programs held in-person or virtually on the aforementioned date and time. Furthermore, I agree to release Explore the magic of Motion LLC, host and organizations affiliated with the event will hold them harmless from any liability which may arise from incidents or accidents involving my child/children and myself during an event, to the extent allowed by law.

 

 I do NOT have an allergy, including but not limited to, gluten, latex, nut, etc., I need to disclose.