I hereby grant permission for Early Start Therapy to use my image or my child’s image, likeness and sound of my voice as recorded on audio or videotape without payment or any other consideration. I understand that my image or my child’s image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.
Photographic, audio or video recordings may be used in the following ways:
• video feedback for counseling or education during evaluation and therapy sessions
• ongoing professional development for Early Start Therapy staff
• educational presentations or courses
• social media or website content
By signing this release, I understand this permission signifies that photographic or video recordings of me or my child may be electronically displayed via the Internet or in the public educational setting. I will be consulted about the use of the photographs or video recording for any purpose other than those listed above.
There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. This release applies to photographic, audio or video recordings collected during the period in which my child receives services from Early Start Therapy.
By signing this form, I acknowledge that I have read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.