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Video and Picture Consent Form

VIDEO RELEASE FORM I, SWAYFIT athlete, with a mailing address of TBA, TBA, California, TBA, hereby grant permission to SWAYFIT athlete, with a mailing address of TBA, TBA, California, TBA, the rights of my image, in video or still, and of the likeness and sound of my voice as recorded on audio or videotape without payment or other consideration. I understand that my 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 for the following uses: courses and educational materials, Film (movie), media, news (press), online / internet videos, presentations, By signing this release, I understand this permission signifies that photographic or video recordings of me 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 as part of the sessions listed on this document only. By signing this release, I acknowledge that I have completely 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. Releasor's Signature ______________________________ Date______________ SWAYFIT athlete of TBA, TBA, California, TBA If this release is obtained from a presenter classified as a minor, then the signature of that presenter’s parent or legal guardian is also required. Parent’s Signature ______________________________ Date___


First SWAYFIT athlete Name
First Name*
Middle Name
Last Name*
First SWAYFIT athlete Age Acknowledgment*
First SWAYFIT athlete Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First SWAYFIT athlete Signature*
Second SWAYFIT athlete Name
First Name*
Middle Name
Last Name*
SWAYFIT athlete Date of Birth*
Date of Birth
Third SWAYFIT athlete Name
First Name*
Middle Name
Last Name*
SWAYFIT athlete Date of Birth*
Date of Birth
Fourth SWAYFIT athlete Name
First Name*
Middle Name
Last Name*
SWAYFIT athlete Date of Birth*
Date of Birth
Fifth SWAYFIT athlete Name
First Name*
Middle Name
Last Name*
SWAYFIT athlete Date of Birth*
Date of Birth
Sixth SWAYFIT athlete Name
First Name*
Middle Name
Last Name*
SWAYFIT athlete Date of Birth*
Date of Birth
Seventh SWAYFIT athlete Name
First Name*
Middle Name
Last Name*
SWAYFIT athlete Date of Birth*
Date of Birth
Eighth SWAYFIT athlete Name
First Name*
Middle Name
Last Name*
SWAYFIT athlete Date of Birth*
Date of Birth
Ninth SWAYFIT athlete Name
First Name*
Middle Name
Last Name*
SWAYFIT athlete Date of Birth*
Date of Birth
Tenth SWAYFIT athlete Name
First Name*
Middle Name
Last Name*
SWAYFIT athlete Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
SMS MESSAGING OPT-IN By providing my phone number and checking below, I consent to receive text messages from SwayFit regarding: - Class schedules and changes - Special events and promotions - Account notifications - Emergency communications I understand that message and data rates may apply. I can opt out at any time by texting STOP to [your SMS number]. □ I consent to receive SMS messages from SwayFit
Click to customize question*
No
Yes
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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