LA CROSSE AREA FAMILY YMCA

I am 18 years of age or older and, if not, my Mother/Father/Legal Guardian has also signed below.

For my participation in activities to be conducted by La Crosse Area Family YMCA and/or YMCA of the USA (collectively “the Y”), and collaborating third parties, I consent, now and for all time, to the making, reproduction, editing, broadcasting, or rebroadcasting of video film or footage of me, soundtrack recordings of me, photo reproductions of me, and any narrative account of my experience.

My consent includes a perpetual license to the Y and collaborating third parties for the use of the materials for publication, display, sale or exhibition in promotions, advertising, education, and commercial uses. Use includes reproductions in any form and media currently existing or later conceived, adaptations and/or revisions, throughout the world in perpetuity.

I agree that my consent is irrevocable. I hereby release and discharge the Y and collaborating third parties, from all claims, actions, lawsuits or demands of any kind arising out of my consent, license grants, uses, or the shared uses of any works or materials referenced herein.

I further agree to the following:
-Any video film, footage, sound track recordings, and photo reproductions of me and/or my narrative account of my experience at [the La Crosse Area Family YMCA, I authorize, according to this Release, shall belong to the La Crosse Area Family YMCA, YMCA of the USA and third parties collaborating with the La Crosse Area Family YMCA and/or YMCA of the USA.  Therefore, they will have full right of disposition of any video film, footage, sound track recordings and photo reproductions of me and/or my narrative account of my experience the La Crosse Area Family YMCA;

-Any video film, footage, sound track recordings and photo reproductions of me and/or my narrative account of my experience the La Crosse Area Family YMCA will not be subject to any obligation of confidentiality and may be shared with and used by the La Crosse Area Family YMCA, YMCA of the USA and third parties collaborating with the La Crosse Area Family YMCA and/or YMCA of the USA;

-The La Crosse Area Family YMCA, YMCA of the USA and third parties collaborating with the La Crosse Area Family YMCA and/or YMCA of the USA shall not be liable for any use or disclosure to a third party of any video film, footage, sound track recordings and photo reproductions of me and/or my narrative account of my experience at the La Crosse Area Family YMCA; and

- The La Crosse Area Family YMCA, YMCA of the USA and third parties collaborating with the La Crosse Area Family YMCA and/or YMCA of the USA shall exclusively own all known or later existing rights to worldwide and shall be entitled to the unrestricted use any video film, footage, sound track recordings and photo reproductions of me and/or my narrative account of my experience at the La Crosse Area Family YMCA for any purpose without compensation to me.

Updated 2/21/2022