This waiver allows BBSVC to use photographs or video that may be taken of your student during their participation with the High School Mentor Program:
I, the undersigned, certify that I am the legal parent or guardian of
, (name of “Little” or minor “Big”), a minor child (hereafter, the “Minor Child”),
and that I have full authority to execute this Consent and Release Form.
I understand that Big Brothers Big Sisters of Ventura County ("BBSVC") and/or its affiliates are seeking to use my or the Minor Child’s
image and/or likeness, with or without the use of their name, biographical information, personal characteristics, quotations, writings, information contained in writings,
and/or audio or video recordings of me or the Minor Child, whether made through BBSVC or
elsewhere (the “Released Material”) for or in BBSVC and/or affiliate publications or productions.
In consideration of the mutual promises made herein, and for other good and valuable consideration, the receipt and sufficiency
of which I hereby acknowledge, I hereby grant to BBSVC and its affiliates the right to use the Released Material as BBSVC and/or
its affiliates may desire, in all media now existing or hereafter created and in all variations and forms including, but not limited
to, internal or external publications or productions, informational or recruitment materials, marketing materials, fundraising
materials, televised photography and/or recordings, advertisements, Public Service Announcements, and/or online and social
The use of this information shall be at the sole discretion of BBSVC and/or its affiliates.
I further grant to BBSVC and its affiliates the absolute right to use the Released Material in whole or in part, alone or in conjunction
with any other image, name, writings or reproduction, in color or otherwise, for art, advertising, business, trade, or any other
lawful purpose whatsoever, in perpetuity throughout the world.
I understand and agree that all materials created by BBSVC and/or its affiliates that use the Released Materials are the property
of and are owned by BBSVC, and that I cannot authorize their use by any other party. I further understand that BBSVC may
authorize their use by a third party. I hereby irrevocably transfer and assign to BBSVC my entire right, title and interest, if any, in
and to the Released Materials and all copyrights in the Released Materials arising in any jurisdiction throughout the world,
including the right to register and sue to enforce such copyrights against infringers.
I acknowledge and agree that I have no right to review or approve the Released Materials before they are used by BBSVC and/or
its affiliates, and that BBSVC has no liability to me for any editing or alteration of the Released Materials or for any distortion or
other effects resulting from BBSVC’s and/or its affiliates’ editing, alteration or use of the Released Materials. BBSVC has no
obligation to use the Released Materials or to exercise any rights given by this Consent and Release Form.
I hereby release BBSVC and its affiliates, employees, agents, and any partner companies, from all claims,
demands or liabilities and related financial costs that I or the Minor Child may now or hereafter have arising in connection with
BBSVC’s exercise of the rights hereby granted, and/or with the appearance or the Released Materials in any publication or
production. These include, without limitation, claims for compensation, defamation, or invasion of privacy, or other infringements
or violations of personal or property rights of any sort whatsoever.