I consent to and give Rich Media
and its representatives,
agents, subsidiaries, related entities and assigns (collectively, the “Company”) permission to take
and create videos and recordings of and about me/my minor (collectively called the “Videos”).
I give permission to the Company, to use and re-use, publish, distribute, and/or broadcast the
Videos, in whole or in part, individually or in conjunction with other photographs, images, videos,
text, quotes, summaries, biographies, and/or excerpts, in any and all promotional, educational,
business, trade, advertising, and marketing materials, including, but not limited to, in connection
with product endorsements. These materials may include e-mails, the Internet, social media,
websites, and other electronic media, as well as the traditional radio, television, cable television,
and other uses, in such medium and formats (whether now known or hereafter created or invented).
at such locations, at such times and for such purposes as the Company chooses, in its sole
discretion.
I hereby waive any right that I may have to inspect or approve the finished product or products or
the advertising copy or printed matter that may be used in connection with the Videos or the use
to which the Videos may be applied. In addition, I waive all rights that I may have to any claims
for payment of any kind, whether money, property, or otherwise, related to the recording.
production, publication, use, or re-use of the Videos.
I understand that my name/my minor’s name, nickname, pseudonym, likeness, voice, image and/or biographical
information may be used as part of or in connection with the Videos. I release and hold harmless
the Company from any and all claims that may arise out of or in connection with my/my minor’s participation
in the recording, production, publication, use, and/or re-use of the Videos including, without
limitation, any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in
composite or distorted form, whether intentional or otherwise, that may occur or be produced in
the taking of any of such photographs, portraits or other materials or in any subsequent processing
thereof.
I understand that this Release applies in perpetuity.

(Signature for consent is obtained upon booking)