WAIVER AND RELEASE
I authorize Cultivating Resilient Youth, Inc. (“CRY”) to photograph (still photo, film, videotape, or digital imagery/video), record (audiotape or digital) and/or interview my child using either a CRY photographer/videographer or a photographer/videographer hired by CRY, or a photograph or recording provided to CRY by me. I understand that CRY, and in some cases, organizations with which it has partnered, shall have all
legal rights to said photography/ recording(s) /interview(s), and that I give up any and all rights to these
organizations and will not receive any payment or compensation for the same now or in the future. I understand the photography/recording(s) / interview(s) may be used for publicity, education, public information, or fundraising by CRY and that the photography / recording(s) could appear on CRY’s website and/or elsewhere on the Internet. In consideration for my minor child’s participation in the program, I/we hereby release and discharge CRY, its officers, directors, employees, agents, and representatives from any claims, liability, or results caused by the use of such photography/recording(s) and/or interview of me as provided herein. I understand that I will not receive any special services or compensation in exchange for my agreeing to sign this authorization. I understand that I may revoke this authorization at any time by providing written notice to CRY addressed to: P.O. Box 44231, Pittsburgh, PA 15205. However, such revocation shall not affect CRY’s right to use information, photography / recording(s), and / or interviews made or obtained prior to my revocation of this authorization.
In consideration for being accepted to participate in the F.I.Y.A. program, sponsored by Cultivating Resilient Youth I/we, being 21 years of age or older, do for myself/ourselves and for and on behalf of the minor –participant, and our/their lawful heirs, hereby release, forever discharge and agree to hold harmless Cultivating Resilient Youth, along with its directors, officers, employees, or agents from any and all liability, claims, or demands for personal injury, sickness, or death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned and the minor-participant while said my minor child is participating in any programming events. Furthermore, I/we and on behalf of my/our minor-participant, and our lawful heirs, hereby assume all risk of personal injury, sickness, death, damage and expenses as a result of participation in any activities involved therein.
I attest that I am the parent or legal guardian of the minor participant with all rights and responsibilities to agree to and execute this Waiver and Release for both Photography, and that it will be legally binding on myself, my child, and any lawful legal representatives, heirs, or assigns.