Photo Release Form

I agree as an adult participant, or the Parent/Legal Guardian of a minor participant, that in consideration of being permitted to participate at SENSORY INNOVATIONS LLC, I grant SENSORY INNOVATIONS LLC and its agents, owners, shareholders, directors, partners, employees, volunteers, manufacturers, participants, lessors, affiliates, its subsidiaries, related and affiliated entities, successors and assigns (the “RELEASED PARTIES”) the right and permission to photograph and/or record me or my child in connection with SENSORY INNOVATIONS LLC. I further grant SENSORY INNOVATIONS LLC and all RELEASED PARTIES the right and permission to use the photograph and/or recording for all purposes, including advertising and promotional purposes, in any manner and in any and all media now or hereafter known, in perpetuity throughout the world, without restriction as to alteration. I waive any right to inspect or approve the use of the Photograph and/or Recording. I acknowledge and agree that the rights granted to this release are without compensation of any kind. All Photographs and/or Recordings are exclusive to SENSORY INNOVATIONS LLC. If the participant is a minor, I agree that this Photo Release Form (“RELEASE”) is made on behalf of that minor participant and that all of the releases, waivers, and promises herein are binding on that minor participant. I represent that I have full authority as Parent or Legal Guardian of the minor participant to bind the minor participant to this agreement. I agree that this form will remain in effect until revoked. I understand that it is my responsibility to update this form if I no longer wish to authorize the above uses.

I have read and understand this Photo Release Form agreement and I consent to the terms stated above. By signing below, I grant permission for my child to be photographed, or their images recorded for print or electronic use in promoting Sensory Innovations’ services. This authorization will remain in effect until revoked by me in writing. A photocopy of this assignment is to be considered as valid as the original.