Photo Release & Liability Waiver

Waiver

By signing this form, I agree that no filming, video or live capture of any kind is allowed at this event. I hereby release, discharge, and hold harmless Conscious Discipline, its employees, independent contractors, administrators, agents, assignees and anyone who it may be claimed liable from injury or damage. This is a binding and voluntary release for all injury, accident or death for both person and property. I assume all risk for travel, attendance, and participation in the event.

I give permission for myself to be videotaped, audiotaped and photographed. I understand that Conscious Discipline (DBA of Loving Guidance, Inc.) of Oviedo, Florida will own the video / audiotapes or photographs (the “media”) and any works which may utilize the media, including the irrevocable right to edit, broadcast, print reproduce the works and to offer the works for sale to the public. This also includes the right to copyright and the right to license others to use the Media in connection with the works.

I agree that the Content may be combined with other images, text, graphics, film, audio, audiovisual works; and may be cropped, altered or modified. I agree that I have no rights to the Content, and all rights to the Content belong to the Conscious Discipline and Assigns assigned by Conscious Discipline. I acknowledge and agree that I have no further right to additional consideration or accounting, and that I will make no further claim for any reason to Conscious Discipline and Assigns. I acknowledge and agree that this release is binding upon my heirs and assigns. I agree that this release is irrevocable, worldwide and perpetual, and will be governed by the laws (excluding the law of conflicts) of the state of Florida.

Because Conscious Discipline is sensitive to the privacy of those appearing in the Media, there will be no credits given to myself in the Media or the works or derivative works utilizing the media in whole or in part. I also agree that I will not receive any payment for appearing in the Media, or the works or derivative works using the Media. I waive, on my own behalf, any rights or interest in and to the Media and any works utilizing the Media, and will have no claim of any kind against Conscious Discipline, it’s executors, licensees, successors or assignees based on the exercise of any rights granted here under or for the use of the Media, or works containing it.

I further waive, on behalf of myself, the right to inspect and/or approve the products of Conscious Discipline that utilize the Media, including any works and written copy that may be created in connection therewith. I hereby warrant I am of full legal age, have full legal authority and am otherwise competent to sign this Release, and by registering and attending, I further warrant that I have read and understand all of these terms. Conscious Discipline also reserves the right to substitute speaker(s) at any event.

Signature