Media Consent/Release Form
I, for myself, and as parent, legal guardian, or custodian of participating minor(s), hereby authorize Northeastern Ballet Theatre to use the image, voice, or likeness of myself and/or my participating minor(s) in photographs, audio recordings, video recordings, other digital media and/or information related to experiences with Northeastern Ballet Theatre.
I understand that this information may be used in publications, including, but not limited to: electronic and web-based publications, website and social media accounts (such as Facebook, Instagram, TikTok, and X (Twitter)), written articles, news media, audiovisual presentations, promotional/marketing/advertising literature, community presentations, letters to area legislators/funding streams and/or other similar ways.
My consent is freely given as a public service to Northeastern Ballet Theatre, without expectation of acknowledgment, recognition, payment or other consideration. I waive any right to royalties or other compensation arising or related to the use of the media.
I release Northeastern Ballet Theatre and their respective employees, volunteers, officers and agents from any and all liability which may arise from the use of such news media stories, promotional materials, written articles, video and/or photographs.
I hereby grant Northeastern Ballet Theatre creative permission to edit, alter, copy, exhibit, publish, or distribute media information for any lawful purpose, provided that the media is not altered in an explicit manner or used maliciously. In addition, I waive any right to inspect or approve the finished product. I understand and agree that all media will become the property of Northeastern Ballet Theatre and will not be returned.
I understand that I can revoke this release at any time in writing and that the use of any of my photos or other information authorized by this release will immediately cease.
The signature of a parent or legal guardian is required if the participating individual is under the age of 18.
If you prefer that your/the participating minor’s name not be used in conjunction with the image, voice, or likeness of yourself and/or your participating minor(s) please contact NBT at info@northeasternballet.org.
If you do not wish for the image, voice, or likeness of yourself and/or your participating minor(s) to be used publicly, please fill out the "Photo Opt-Out" Release Form.