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Consent Form
Authorization for use of photos and videos
«
(Requis)
» indique les champs nécessaires
Name of participant / extra
(Requis)
First Name
Last Name
Date of birth
(Requis)
Day
Month
Year
e-mail
(Requis)
Project
(Requis)
Date of photo / video project
(Requis)
Day
Month
Year
I hereby authorize MALAD Communication Inc. (hereinafter referred to as « MALAD »), as well as all its clients, agents, representatives, employees, and any third party acting on its behalf or on behalf of its clients (hereinafter referred to as “CLIENTS”), to use, reproduce, distribute, publicly display, and create derivative works from my image, voice, and/or performance (hereinafter referred to as « MEDIA ») captured at any time by MALAD and its CLIENTS, whether before or after the date of signing this form, in connection with all activities of MALAD or its CLIENTS, including but not limited to promotion, sales, advertising, commerce, art, and illustration.
I understand that this consent applies to all MEDIA taken or created by MALAD and its CLIENTS, past, present, and future, without the need for renewal or additional consent for each future use or new project.
I understand that MALAD and its CLIENTS have the right to use these MEDIA without limitation, with no restriction on time, location, or medium, in any printed or electronic material, book, brochure, corporate document, promotional tool, magazine, newsletter, website, social media, and any other similar document. I hereby release and discharge MALAD and its CLIENTS from any and all liability, claims, actions, demands, fees, or expenses of any kind, that I may have now or in the future as a result of the use and/or publication of the MEDIA. I have read and understood this consent and release form before signing it, and I accept the terms outlined herein and all their implications. If I am the parent or legal guardian of a minor model, I declare that I have the legal authority to sign this consent and release form on their behalf, and I give irrevocable permission to MALAD and its CLIENTS to use the MEDIA as described above.
Signature of participant or parent/legal guardian (if under 18)
(Requis)
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