3570F2: Permission to Use Likeness

 

Gooding Jt. School District 231        

 

STUDENTS                                                                                                                                                                                                                   3570F2

 

Permission to Use Likeness

 

I hereby authorize Gooding School District to use my likeness in a photograph, image, motion picture, video recording, and/or sound recording, for use in any and all of its publications, including website entries, social media or to otherwise publish, circulate and to disseminate said photographs, images, motion pictures, video recordings, and/or sound recordings or any duplication or facsimile thereof for any lawful purpose they deem proper. I recognize and consent that my name may or may not be attached or utilized in relation to the publication of any such photograph, image, motion picture, video recording, and/or sound recording and consent to the same.

 

By making such authorization, I hereby relinquish and assign to Gooding School District all right, title and interest I may have in the photographs, images, motion pictures, video recordings, and/or sound recordings, negatives, reproductions or copies, including, but not limited to, the right to copyright the same used by them. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness or voice appears; and waive any right to royalties or other compensation arising or related to the use of such photographs, images, motion pictures, video recordings, and/or sound recordings.

 

I understand that Gooding School District and their employees, agents, officers, and owners cannot warrant or guarantee that any further dissemination of my image and/or voice will be subject to control by Gooding School District. I hereby hold harmless and release and forever discharge Gooding School District and their employees, agents, officers, and owners, from all claims, demands, damages, and causes of action which I, my heirs, representatives, executors, administrators, or any other person’s action on my behalf or on behalf of my estate have or may have by reason of this authorization.

 

I am 18 years of age and am competent to contract in my own name. I have read this release and assignment before signing below and I fully understand the contents, meaning, and impact of this release.

 

Signature: ______________________________________          Date: ______________________

 

Printed Name: _______________________________________________________________

 

If the person signing is under age 18, there must be consent by a parent or guardian, as follows:

 

I hereby certify that I am the parent or legal guardian of _______________________. I have read the foregoing release and assignment before signing below and I fully understand the contents, meaning, and impact of this release, and do hereby sign and authorize said release and assignment on behalf of the minor child named above and will hold the District harmless for any claim that may be pursued by or on behalf of my child as a result of my entering into this release and assignment.

 

Parent/Guardian/s Signature: ____________________________________________________          

 

Date: ______________________

 

Parent/Guardian’s Printed Name: __________________________________________________

 

Student’s Printed Name: _________________________________________________________    

 

PowerSchool Notice of Data Breach Impacting Gooding School District

Transcript Request Form







Please initial below to acknowledge that you are the student named above and that you have reviewed the information above and agree that it is accurate. By initialing below you endorse this document as legally binding in accordance with the e-sign bill S.761 and release the below initials in lieu of a signature.
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