In consideration of Juvo Limited (The Digital Court, Rainsford St, Dublin) (“Juvo”) accepting my child as a participant in and/or contributor to and associated material (“Project”), I hereby warrant, accept and agree for myself and on behalf of my child that:
1. I acknowledge that Juvo has fully explained my child’s participation in the Project and filming process and that I fully understand it’s purpose and use.
2. I understand that no fee will be payable for my child’s contribution.
3. I consent to my child being filmed, recorded and/or photographed under the terms set out in this release form and to any resulting footage, recording or stills of my child being used in the Project and/or in material produced in connection with the Project in perpetuity (including but not limited to marketing and publicity materials in all media, such as Juvo website(s) and Juvo social media channel(s).
4. I assign to Juvo the copyright and all other rights in my child’s and/or my own contribution to the Project (including, for the avoidance of doubt, any other use of such contribution as may be permitted by paragraph 3 above), I agree that Juvo may edit, adapt, translate or remove my child’s and/or my contribution and I hereby waive irrevocably any and all ‘moral rights’ in respect of my child’s and/or my contribution which may exist now or in the future. In the event that I have to withdraw my child from participation in the Project, it will be at the Juvo’s sole editorial discretion as to whether to use any material featuring my child which has already been gathered prior to such withdrawal.
5. My child will observe all procedures and rules and obey all instructions in force or given by an authorised official in connection with the management of the Project and/or the location(s) and fire safety and security arrangements in those locations and surrounding areas.
6. I understand that my child’s contribution to the Project is unique and I agree to make my child available on all dates provided by the production team for the purpose of recording the Project including any follow-up filming.
7. Where my child’s contribution includes the submission of any material to Juvo including, without limitation film footage of any kind and web “blogs”, I will ensure and warrant to Juvo that I have obtained the consent of any and all persons appearing in such material for the material to be used by Juvo in any manner and that such material is not defamatory to any person and does not bring Juvo into disrepute. Further I warrant that the material is my child’s own work and is subject to the grant of rights
in paragraph 4 above.
8. I understand that where material is submitted by my child, that Juvo will not return such material.
9. I understand that this Project may require my child to take part in physical activities. I declare that my child is fit and able to take part. I will inform Juvo if there are any health concerns such as illness which may adversely affect my child or other people at the event e.g. upper respiratory infections, chicken pox, measles, flu and other conditions. Juvo reserves the right to refuse participation on the day of recording if any illness of this nature is evident.
10. I have not entered into any commercial or other sponsorship agreement or arrangement with any person, firm or company in respect of my child’s participation in the Project and will not do so.
11. I shall not disclose any information concerning the Project or my child’s participation to any other person or company, whether by means of discussion, letter, press photograph, television interviews or otherwise without the prior consent of Juvo
12. If any of the information I have given in this form becomes incorrect due to any changes in circumstances between the date hereof and the date of transmission of the show, I undertake to inform the Producer of the Project immediately of the nature of such change.
13. Juvo shall not be liable to me or my legal representative for any loss or damage or injury to my child or my child’s personal property caused or suffered during or in connection with the making of the Project unless caused by the negligence of Juvo and recoverable on that ground.
14. My child’s contribution shall not contain anything which is offensive, defamatory, an infringement of copyright or which is calculated to bring Juvo into disrepute.
15. Juvo has no obligation to use my child’s contribution and where it believes appropriate it may decide not to include my child at any time. I understand that the signing of this release form does not guarantee my child’s appearance on the Project.
16. I confirm that I am the child’s parent or legal guardian.
17. I understand that Juvo complies with all provisions of the Data Protection Act 2018 and that all information held in respect of myself and/or my child will only be used in connection with my child’s participation in the Project (and the use of such participation in related material as specified in paragraph 3 above)
Please complete below
Name of Child: .....................................................................................................................
Gender: Male / Female (please circle appropriate)
Address: ..................................................................................................................... ............................................................... Postcode: ....................................
Tel/Mob: .....................................................................................................................
Child’s Date of Birth: ............................................................... Age: .............................................
Date:
Title of Project: ...................................................................................................................
Location of filming:
Please state your relationship to the child ................................................................................
If you are not present with the child during the filming period please nominate the person acting as loco parentis for your child:
Name of person acting as loco parentis ................................................................................
Please state the relationship to the child
I agree to the terms and conditions for the recording of the Project:
Print Name .....................................................................................................................
Signature (Parent/ Guardian)