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OurWorlds Media Release Form

I hereby grant permission to Our Worlds Inc. the rights of my image, in video or still photography, and of the likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse settings within an unrestricted geographic area.

Photographic, audio or video recordings may be used for ANY USE which may include but is not limited to:

  • Augmented and Virtual Reality Applications
  • Mobile Apps
  • Software
  • Presentations
  • Courses
  • Online/Internet Videos
  • Media
  • News (Press)

By signing this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet, in print, or in public settings via augmented or virtual reality.

I will be consulted about the use of the photographs or recordings for any purpose other than those listed above.

There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.

By signing this release, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.

I am filling out this form on behalf of:
Participant's Name(Required)
Parent or Guardian's Name(Required)
Address(Required)
Participant Minor's Name(Required)
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Clear Signature
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