Name of individual (18 years of age or older) OR Name of child if student is under the age of 18)
Name of parent/guardian if student is under the age of 18
Email of individual (18 years of age or older) OR email of parent/guardian if student is under the age of 18.

Media Release Consent Form for Individuals and Minors

I hereby agree and give my permission to the 6rightest to record, film, photograph, interview, audio record or video record myself or the child listed below and/or use my/ his/ her name, image or student work, (hereinafter collectively referred to as “Works”) and to display these Works on the 6rightest’s website and social media sites for the purpose of promoting its Blog and Mentorship Program. I hereby release and hold harmless the 6rightest from any reasonable expectation of privacy or confidentiality for myself or the child listed below associated with these Works. I waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and I waive any right to any royalties related to the use of these Works. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. I understand that the Works may appear in electronic form on the internet or in other publications outside of the 6rightest’s control. I agree that I will not hold the 6rightest responsible for any harm that may arise from any unauthorized reproduction. I understand that I am free to contact the 6rightest with any questions regarding this release.
Parent’s/Guardian’s Signature (If student is under the age of 18) Individual’s Signature (If 18 years of age or older)
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