Image rights release weaver form for adults and under age
For all the candidates involve in Toulouse Classical and Neo-classical dance competition organized by the non-profit organization “Je Monte sur Scene”.
I hereby
Name of the parents?legal tutor/ candidates (over 18 years old):______________
_________________________________________________________________
allow the non-profit organization “Je Monte sur Scene’, the permission to publish all photographies or videos taken between the 25th and 26th of February 2012 during the Toulouse Classical and Neo-Classical Dance Competition.
This videos and images will stay properties of the non-profit organization “Je Monte sur Scene” and will only be used in the web-site of the non-profit organization “Je Monte sur Scene”.
For:________________________________________________________________
Last and Surname:____________________________________________________
Address: ____________________________________________________________
Post Code:____________________Country:________________________________
Date:________________________ Place:______________________________
I hereby declare I am over 18 years old or more and competed to sign this form under my own name.
I have read and understood this terms
I hereby declare being the legal parent or tutor of the under age candidate as named above, and having the legal right to sign this release weaver form under his/ her name.
I have read and understood the terms and consent to the use of the photographies and videos mentioned in this form.
Place: ______________________ Date:_______________________________
Signature: (proceed by “Read and Approved”)
JE MONTE SUR SCENE

