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    Student Media Authorization and Release: Long Beach Unified School District

    Uploaded by

    Rad Op
    1. The Long Beach Unified School District seeks permission from parents/guardians to use students' images, likenesses, names, voices, writings and artwork in various media for promotional purposes without compensation. 2. Parents/guardians waive any right to approve the use of students' information and release the district from liability. 3. The document must be signed by a parent/guardian and student to grant the district permission to use student information without restrictions.

    Copyright:

    © All Rights Reserved
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    Student Media Authorization and Release: Long Beach Unified School District

    Uploaded by

    Rad Op
    25 views2 pages
    1. The Long Beach Unified School District seeks permission from parents/guardians to use students' images, likenesses, names, voices, writings and artwork in various media for promotional purposes without compensation. 2. Parents/guardians waive any right to approve the use of students' information and release the district from liability. 3. The document must be signed by a parent/guardian and student to grant the district permission to use student information without restrictions.

    Original Description:

    See you tomorrow at work later than that

    Original Title

    865774F5A55245F09F64110666EE2776

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    1. The Long Beach Unified School District seeks permission from parents/guardians to use students' images, likenesses, names, voices, writings and artwork in various media for promotional purposes without compensation. 2. Parents/guardians waive any right to approve the use of students' information and release the district from liability. 3. The document must be signed by a parent/guardian and student to grant the district permission to use student information without restrictions.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    25 views2 pages

    Student Media Authorization and Release: Long Beach Unified School District

    Uploaded by

    Rad Op
    1. The Long Beach Unified School District seeks permission from parents/guardians to use students' images, likenesses, names, voices, writings and artwork in various media for promotional purposes without compensation. 2. Parents/guardians waive any right to approve the use of students' information and release the district from liability. 3. The document must be signed by a parent/guardian and student to grant the district permission to use student information without restrictions.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Long Beach Unified School District

    Student Media Authorization and Release


    I hereby grant to Long Beach Unified School District, its officers, employees, and agents, service providers and assigns
    (collectively referred to herein as “LBUSD”) permission to use, exploit, adapt, modify, reproduce, create derivative
    works, distribute, publicly perform and display, in any form now known or later developed, my pupil’s image or visual
    likeness, name and/or voice, as well as writing, creations and artwork created by my pupil, throughout the world, by
    incorporating it or them into publications, catalogues, brochures, books, magazines, photo exhibits, motion pictures,
    videos, web pages, and/or other media or commercial, informational, educational, training, advertising, recruiting or
    promotional materials relating thereto using any means, method or media which LBUSD deems appropriate in its sole
    discretion and that they may be used with or without my or my pupil’s name or with a fictitious name and with fictitious
    or accurate biographical information. The possibility of publicity is good and valuable consideration for my signature
    below.

    I make this grant of rights with the understanding that no compensation will be paid to me or my pupil for such grant. I
    understand and agree that all right, title and interest, including copyrights, in the materials created by LBUSD pursuant to
    this agreement are the exclusive property of LBUSD and that I will obtain no rights in such materials. I also understand
    that LBUSD is not actually required to use my pupil’s name, photograph, likeness, image, voice, signature, writing,
    creations or artwork in any way.

    I hereby waive any right that I or my pupil may have to inspect or approve any photograph, likeness, image, video, audio
    recording, creation or derivative work thereof made pursuant to this Student Media Authorization and Release. I
    understand that under California law individuals have the legal right to control the use of their names, likenesses and
    images and I hereby release all such rights and hold harmless LBUSD, its agents, licensees, and assignees from, and will
    neither sue nor bring any proceeding against any such parties for any liability, whether now known or arising hereafter,
    resulting from or arising in connection with the exercise of such parties’ rights pursuant to this agreement.

    I have read the above agreement and fully understand its contents. I represent and warrant that I am at least 18 years of
    age, that I have the right to contract in my pupil’s name, and that neither I nor my pupil has any pre-existing obligation
    that may restrict or limit my ability to sign this Student Media Authorization and Release.

    This Student Media Authorization and Release will be governed by the laws of the State of California and represents the
    final and exclusive agreement between LBUSD and myself on this subject.

    I warrant that I am the legal guardian of the minor being photographed or whose likeness and/or creations will appear in
    photograph(s) or other media as designed by LBUSD and agree to the above.

    I give my additional consent to and agree to the terms above:


    _____________________________ ___________ ______________________ ___________
    Parent/Guardian Signature Date Pupil Signature Date

    ___________________________ ___________ ______________________


    Parent/Guardian Signature Date Pupil Name (Please Print)

    _____________________ ______________________
    Telephone Number School Site

    If over 18 and a student, sign and date here _______________________ _______________


    Pupil Signature Date
    ___________________________ __________________
    Pupil Name (Please Print) Telephone Number

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