Client Media/Photo Waiver Form

Undersigned (“Undersigned” means only the Participant when the Participant is age 18 or older or it means both the Participant and the Participant’s parent(s) or legal guardian(s) when the Participant is under the age of 18) authorizes and gives consent to Released Parties (“Released Parties” means Pediatric Connections, its directors, officers, employees, volunteers and agents as well as Joy Meadows Inc., a Kansas not for profit corporation, and its directors, officers, employees, volunteers and agents) to copyright and/or publish for public view any and all photographs, digital recordings and/or film in which the mentioned Participant appears. Released Parties may transfer, use, or cause to be used, these digital recordings, photographs, or films for public displays, publications, commercials, art and/or advertising purposes, and internet without limitations or reservations.