Connexions Coaching

1400 Chapel Street. PO Box 782

Santa Clara, UT 84765 

(801)-874-7691

  • STEP 1 OF 3:

    FILL AND SUBMIT THE DOCUMENT BELOW TO CONTINUE:

    ConneXions Classroom, LLC
    PHOTO AND RECORDING RELEASE

  • For good and valuable consideration received, I (the undersigned) hereby grant to ConneXions Classroom, LLC, a Utah limited liability company (“Connexions”), its legal representatives and assigns, those for whom ConneXions is acting, and those acting with its authority and permission, the absolute, unrestricted, and irrevocable right and permission to copyright and use, re-use, publish, and re-publish text or other material which depicts quotes attributed to me, any video or photographic portraits or pictures of myself or in which I may be included, in the whole or in part and in any medium, any recordings of me, or composite or distorted in character or form and including any sounds or utterances I make, without restriction as to changes or alterations from time to time, in conjunction with my own or fictitious name, or reproductions thereof, in color or otherwise, made through any medium of its studios or elsewhere, and in any and all media now or hereafter known, for art, advertising, trade, or any other purpose, including commercial purposes, whatsoever.

    I also consent to the use of any printed matter in conjunction therewith. I hereby waive any right that I may have to inspect or approve the finished product or products or the advertising copy or printed matter that may be used in connection therewith or the use to which it may be applied.

    I hereby release, discharge, and agree to save and hold harmless ConneXions, its legal representatives or assigns, and all persons acting under its permission or authority or those whom it is acting, from any liability to said materials by virtue of any use, blurring, distortion, alteration, optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of said picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation of any claims for libel or invasion of privacy.

    I state further that I have read the above authorization, releases and agreement, prior to its execution, and that I am fully familiar with the contents thereof and that it affects my legal rights. This release shall be binding upon me and my heirs, legal representatives, and assigns.

  • I hereby warrent that I am of full age and have every right to contract in the above regard.

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  • Where the person signing is under 18 we would ask that that person sign above but there must also be the signed consent by a parent or guardian, as follows: I hereby certify that I am at least 18 years old and that I am the parent or guardian of

  • named above. I have read the release above and do hereby give my consent without reservation to the foregoing release on behalf of this person for whom I am the parent or guardian.

  • Date Format: MM slash DD slash YYYY
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