2020 Family Celebration

2020 Family Celebration Registration

2020, 11th Annual Family Recognition Celebration Luncheon  

At: Community Behavioral Health (A Non -Smoking Building)

Saturday, April 25, 2020, 11 am - 3 pm (doors open at 10:30 am)

Please note that children under the age of 16 are not permitted.

I,

for myself or my child if under the age of 18, or my incapacitated adult child, hereby irrevocably consent to and authorize the use by FTAC/PMHCC/City of Philadelphia (City) of any and all  photographs, videos, images, voice recordings, or other media taken of me or my child including derivative works thereof (collectively, the “Images”).  This authorization includes permission to reproduce, publicize, broadcast or display the Images, with or without my name, throughout the world, an unlimited number of times in perpetuity in any and all media, now known or hereafter invented without any form of compensation to me or my child.  

I hereby release and discharge FTAC/PMHCC/City, its officers, employees, licensees, and affiliates from any and all claims, actions, suits or demands of any kind or nature whatsoever, in connection with the use of the Images and the reproduction thereof as aforesaid.

I understand and agree that FTAC/PMHCC/City will be the exclusive owner of all rights, including, but not limited to, all copyrights, in and to the Images in whole or part, throughout the universe, in perpetuity, in any medium now known or hereafter developed, and to license others to so use them in any manner FTAC/PMHCC/City may determine in its sole discretion, without any obligation to me.  I hereby waive any right that I may have to inspect and/or approve the use of the Images or any reproductions thereof, by FTAC/PMHCC/City.   I hereby acknowledge that I am eighteen (18) years of age or over and have read this release and fully understand its terms and agree to sign it voluntarily.  




PARENT/LEGAL GUARDIAN WAIVER FOR MINOR AND INCAPACITATED ADULT CHILD

The undersigned parent or legal guardian does hereby represent that acting in such capacity he/she has consented to his/her child or ward’s participation in the Program/Event and has agreed individually and on behalf of the child or ward, to the terms and conditions of this release.

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