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22 Ericsson Place
New York, NY, 10013
United States

(212) 226-9070

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 I hereby give A&V Ericsson Corporation d/b/a TriBeCa Community School permission to take photographs, videotape footage and Audio recording of my son/daughter in connection. I grant A&V Ericsson Corporation d/b/a TriBeCa Community School, its officers, employees, legal representatives and assigns, permission use, re-use, publish and republish such photographs, videotape, digital images or audio recording in connection therewith, in whole or in part, severally or in conjunction with other photographs or writings, in any medium and for any purpose whatsoever, including, without limitation, training, illustration, press releases, media, promotion, advertising and trade materials. These materials might include printed or electronic publications, audio/video materials, websites or other electronic communications.

I grant A&V Ericsson Corporation d/b/a TriBeCa Community School all rights, title and interest to the finished pictures, negatives, reproductions and copies of the original prints and negatives, including the right to give, sell, transfer and exhibits the negatives, original prints, or copies and facsimiles thereof.

I agree that my child is not entitled to any compensation for any such use of
his/her name, likeness or photographs.

I hereby waive any right to inspect or approve the finished photographs or printed or electronic material and any printed matter to be used in connection therewith.

I hereby release and discharge A&V Ericsson Corporation d/b/a TriBeCa
Community School, its officers, employees, legal representatives and assigns, now and forever from any and all claims and demands which I or my child, or our heirs, representatives ever had, now have or may have arising out of, or in connection with, the use of my child's name, writings or photographs, including, without limitation, to all claims for libel or alleged misrepresentation by virtue of alterations, visual or audio manipulation or faulty mechanical reproduction.

I have read the following release, before affixing my signature below, and warrant that I fully understand the terms and contents therefore.

Child's name
Child's name
Parent or Legal Guardian's name
Parent or Legal Guardian's name
Signature *
By checking this box and typing my name above, I am electronically signing this pick up form