Photo+Release

Publicity Authorization and Release*

The school district requests your permission to reproduce through printed, audio, visual, or electronic means the district activities in which you (or your son/daughter) have participated in and which are related to the district's mission to educate all students to their maximum potential.. Your authorization will enable the school district to make reasonable use of recordings of activities in which you (or your son/daughter) were involved in order to train teachers, increase public awareness, and promote continuation and improvement of education programs through the use of mass media, displays, brochures, websites, and other means of communication.

AUTHORIZATION: I, the undersigned, fully authorize and irrevocably grant the district and its authorized representatives the right to print, photograph, record, and edit, as desired, my image, likeness, and/or voice on audio, video, film, slide, website, or any other electronic or printed formats currently developed or which may be developed (known as “Recordings”), for the purposes stated or related above or for any other lawful purpose.

My initials below reflect that I understand and agree to the following:

___ that use of such Recordings will be without any compensation to me.__

_that school district and/or its authorized representatives shall own exclusive right, title, and interest, including copyright and/or any other property interest, in the Recordings.

___that school district and/or its authorized representatives shall have the unlimited right to use the Recordings for any purposes stated or related to the above.

By signing below, I hereby release and hold harmless and forever discharge the district and its authorized representatives from any and all actions, claims, damages, costs, or expenses, including attorney’s fees, which relate to or arise out of any use of the Recordings as specified above and to which this authorization pertains.

By signing below I acknowledge that I have read and understand this Publicity Authorization and Release and I agree to its provisions.

Name (Please Print) Telephone Address City Zip Code

Signature Date Signed

If under the age of 18

Parent/Guardian Signature Date Signed

(DA- Los Angeles Unified School District)