I give The Centre of Bright Beginnings (ABN 26 329 771 570), its assigns, successors, licensees, legal representatives, employees and agents the irrevocable right to use my name/photograph/image/audio recording/video recording and likeness in all forms and manner (“My Image”) for the purposes of advertising, media publicity, publication, general display or for any other business purposes in whole or in part, including but not limited to publication on internet web sites, broadcasts and any other publications as released to or by The Centre of Bright Beginnings (“Publication”).

I waive any interest that I may have in the copyright to My Image now or at any future time and acknowledge that I am not entitled, nor shall in the future be entitled, to receive any payment or consideration in respect of it and agree to make no claim against The Centre of Bright Beginnings for any payments for the Publication of My Image.

I understand The Centre of Bright Beginnings cannot control unauthorised use of My Image by persons not associated with Bright Beginnings Yoga upon the Publication of My Image. I forever waive any right to inspect or approve any Publication of My Image by The Centre of Bright Beginnings. I release and indemnify The Centre of Bright Beginnings from any loss, damage, costs, expense, or claim (including consequential loss) connected with the Publication of My Image, including action for defamation, libellous material, breach of privacy, or copyright.

Informed Consent:

I have carefully read and fully understand and agree to the above terms of this Media Release Consent. I am signing this agreement voluntarily and recognise that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law and that it cannot be changed orally.

*Those under 18 years of age must have this form signed by a parent or guardian.