This form must be completed by a parent/guardian if participant is under 18 years of age.
THE JOHNS HOPKINS UNIVERSITY
CENTER FOR SOCIAL CONCERN
I give the Johns Hopkins SAT Preparation Program (hereafter, “SAT Prep”) and the Johns Hopkins University (hereafter, the “University”), and their employees, contractors, agents, licensees, volunteers, and assigns (collectively hereafter, “SAT Prep Parties”) a perpetual license and permission to use my child's photograph, video, image, or other reproduction of my child's physical likeness taken or captured by the SAT Prep Parties in connection with my child's participation in one or more programs and/or semesters with or through SAT Prep at any time (collectively hereafter, the “Images”). I understand that my child's Images may be used in SAT Prep and University brochures, SAT Prep and University websites, social media (e.g. Facebook, Twitter), newspaper articles, publications of SAT Prep partner organizations, or other forms of print or electronic publication and social media. I understand that the University owns the Images and all rights, title and interest therein. I acknowledge that use of the Images shall be unrestricted as to location, quantity, or frequency, and may be for any purpose and in any medium whatsoever, whether foreseen or unforeseen at this time, to the fullest extent allowed by law. I specifically grant permission to SAT Prep and each of the SAT Prep Parties, in its sole discretion, to edit, alter, and/or distort the Images, and to use the Images in whole or in part, in conjunction with other images, graphics, text, and sound in any way whatsoever and without restrictions to the fullest extent allowed by law. You may notify SAT Prep in writing if you wish to revoke the consent granted herein; such revocation shall be applicable going forward as of the date of revocation. I understand that SAT Prep will discontinue using the Image(s) only from the revocation date and going forward, and that SAT Prep will not be responsible for removing existing Image(s) already in use in print or electronic media or on the internet except from current un-cached versions of SAT Prep websites.
I understand that SAT Prep currently provides, and in the future may provide, me with certain services, and that the consideration for the permission granted herein consists solely of the services that have been provided as of this date. I expressly agree that I will not be compensated for use of the Images, for any reason whatsoever.
I hereby release the University and all other SAT Prep Parties and each of their respective officers, directors, and employees from any claims, damages, losses or liabilities that I have or may ever have or suffer as a result of the foregoing taking or use(s) of the Images, including for any violation of personal or proprietary right.
I agree that the provision herein shall be binding upon me as well as my collective successors, legal representatives, and assigns.
I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER AND THAT I HAVE READ, FULLY UNDERSTAND AND AGREE TO THE TERMS OF THIS AGREEMENT, AND I SIGN IT VOLUNTARILY WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.