We hope that as more senior missionaries participate on this blog, they will want to share photos of successful activities,uplifting service project ideas and great experiences shared with the wonderful youth of the WIM! In order to do so, we must all go through some necessary preparation to include those photos.
The following is a form that must be signed in order to comply with the Church's requirement for any photos to be on a church affiliated blog or website online. Copy it, then have any youth or people in your photo sign it, scan and send it to marilynn.monson@myldsmail.net. After the local people in your area have signed the photo permission, then you may post their photos by emailing them to me with the signed form and I will include your write-up and activity with photos for others to enjoy and hopefully be able to copy and do themselves! We hope this will become a storehouse of ideas that will inspire us all!
This is a Participant Release (Release to Use Name, Image, Voice, Likeness, and Performance form.
Title of Submission: ____________________________________________________________________
I, the undersigned, irreversibly grant to Intellectual Reserve, Inc., its related entities, and their respective employees, agents, and representatives (collectively called “IRI”), the full right to create and obtain, in the past, present, and in the future, images, photographs, video, audio, interviews, stories, personal histories, performances (vocal, instrumental, dramatic, or otherwise), mixes, and any other recordings, documents, or materials, in any now known or future media, of my name, image, voice, likeness, performance, and other items (collectively called “Recordings”). I also authorize IRI to copyright, adapt, edit, translate, summarize, reproduce, perform, display, distribute, publish, license, sublicense, sell, broadcast, post or stream over the Internet, and otherwise use and allow others to use any and all parts of the Recordings, forever and throughout the world, in any and all manners, and in any and all forms of media that IRI believes suitable.
I agree that I shall have no right, title, or interest in or to the Recordings (or to any work comprising or based on the Recordings, in whole or in part), and that all right, title, and interest in and to the Recordings belongs to IRI. I waive any and all right to payment or other compensation arising from or related to the Recordings. I will not state or imply, or allow others to state or imply, that IRI approves of or endorses me or my activities. I further agree to release, defend, and hold IRI harmless from any claims, damages, or liabilities related to the Recordings or IRI’s use thereof. I understand this Release is governed by the laws of the State of Utah, U.S.A.
________________________________________________________________________________
By signing below, I represent that I have read this Release, understand its contents, and agree to this Release.
Name
Address
Date
Signature
Telephone
Name
Address
Date
Signature
Telephone
Name
Address
Date
Signature
Telephone
________________________________________________________________________________
Parent/Guardian Consent (If anyone listed above is a minor, that person’s parent/guardian must sign below.)
I, the undersigned, hereby warrant and represent that I am the parent or legal guardian of the minor child named above and printed next to my name below (the “Youth”), that I have full authority to execute this Release on behalf of the Youth, that I have read this Release, and that by signing below I have granted this Release on behalf of the Youth. I hereby agree that I, the Youth, and all other parents or legal guardians, if any, will be bound by all releases, consents, and covenants contained in this Release. I further agree to indemnify and defend IRI against any and all liabilities relating to the Youth’s actions in connection with the Recordings or IRI’s use thereof.
Name
Youth’s Name
Date
Signature
Your Telephone
Name
Youth’s Name
Date
Signature
Your Telephone
Name
Youth’s Name
Date
Signature
Your Telephone
Participant Release (Release to Use Name, Image, Voice, Likeness, and Performance)
INTELLECTUAL PROPERTY OFFICE
50 E NORTH TEMPLE, FL 18
SALT LAKE CITY UT 84150-3011
PHONE 801-240-3959
________________________________________________________________________________
The following is a Professional Photographer Release to Use Image form which also must be copied, signed and sent prior to posting PROFESSIONAL photos on this blog. If the photos are not professional, but amateur from a private camera or phone picture, use the form above.
Release to Use Image
INTELLECTUAL PROPERTY OFFICE
50 E NORTH TEMPLE ST
SALT LAKE CITY UT 84150-0018
Telephone 1-801-240-3959
Fax 1-801-240-1187
cor-intellectualproperty@ldschurch.org
IP code
File number (if assigned)
PO number
Parties to Release
This Release to Use Image (hereinafter, “Release”) is an agreement and release between Intellectual Reserve, Inc. (IRI), and
Name (“Grantor”)________________________________________________________________
Phone (with area code)____________________________________________________________
Address________________________________________________________________________
Name of photographer____________________________________________________________
Terms and Conditions
In consideration of the mutual promises and covenants hereinafter contained, and for other good and valuable consideration, Grantor and IRI hereby agree:
1. Grantor hereby irreversibly grants to IRI, its related entities, and their respective employees, agents, and representatives (collectively “IRI”) the full right to create and obtain, in the past, now, and in the future, images, photographs, video, audio, interviews, stories, personal histories, and any other recordings, documents, or materials Grantor may make available to IRI (in whole or in part, in any and all languages, and with or without credit to Grantor), in any now known or future media, of Grantor’s name, image, voice, likeness, personal information, or other items (collectively “Grantor’s Image”). Grantor further authorizes IRI to copyright, adapt, edit, summarize, reproduce, perform, display, distribute, publish, license, sell, broadcast, post or stream over the Internet, create derivative works from, and otherwise use any and all parts of Grantor’s Image, forever and throughout the world, in any and all manners, and in any and all forms of media that IRI believes suitable.
2. Grantor hereby agrees that Grantor shall have no right (including, without limitation, copyright), title, or interest in or to Grantor’s Image or to any IRI work or publication or any material included therein pursuant to this Release and that Grantor shall have no claim of any kind or nature whatsoever against IRI based on the exercise of any rights granted hereunder. Nothing herein will constitute any obligation on the part of IRI to make any use of any of the rights set forth herein. Grantor waives any and all right to payment or other compensation arising from or related to Grantor’s Image. Grantor will not state or imply, or allow others to state or imply, that IRI approves of or endorses Grantor or Grantor’s activities.
3. Grantor represents and warrants to IRI that Grantor is free to enter into this Release and that Grantor’s performance hereunder will not conflict with any other agreement or understanding to which Grantor may be a party.
4. Grantor hereby acknowledges and agrees that in the event of any breach or alleged breach by IRI of any of its obligations to Grantor, Grantor shall be limited to Grantor’s remedies at law for damages and shall not be entitled to terminate or rescind this Release. This Release shall be binding upon and inure to the benefit of the parties, their successors, heirs, assigns, and legal representatives and shall be governed by and construed in accordance with the laws of the State of Utah, excluding conflict-of-law principles. If any dispute arises out of or relates to this Release, the parties agree to the jurisdiction of the courts in the State of Utah for purposes of any action instituted pursuant to this Release.
In Witness Whereof
The parties have affixed their signatures to this Release. By signing below, Grantor warrants and represents that he or she has read this Release, understands its contents, and has the legal capacity to execute this Release.
Intellectual Reserve, Inc.________________________________________________________
Date__________________________
Grantor_______________________________________________________________________
Date__________________________
Reserved for IRI description of content
Parental Consent If Grantor is a minor child, Grantor’s parent or legal guardian must complete the following.
I, the undersigned, hereby warrant and represent that I am the parent or legal guardian of the minor child named on this Release (“Grantor”), that I have full authority to execute this Release on behalf of Grantor, that I have read this Release, and that by signing below I have granted this Release on behalf of Grantor. I hereby agree that I and said Grantor and all other parents or legal guardians, if any, will be bound by all releases, consents, and covenants contained in this Release.
Name of parent or guardian_______________________________________________________
Signature_____________________________________________________________________
Date_________________________________________________________________________
Address______________________________________________________________________
Phone (with area code)__________________________________________________________
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