I hereby grant the North Brunswick Buddy Ball program, its directors, officers, employees, agents, and designees (collectively “Buddy Ball”) non-revocable permission to capture my (or my child’s) image and likeness in videotapes, motion pictures, recordings, or any other media (collectively “Images”). I grant the the North Brunswick Buddy Ball permission to display, publish, distribute, use, modify, print and reprint such Images in any manner whatsoever related to the North Brunswick Buddy Ball business, including without limitation, publications, advertisements, brochures, web site images, or other electronic displays and transmissions thereof. I further waive any right to inspect or approve the use of the Image by the the North Brunswick Buddy Ball prior to its use. I forever release and hold the the North Brunswick Buddy Ball harmless from any and all liability arising out of the use of the Images in any manner or media whatsoever, and waive any and all claims and causes of action relating to use of the Images, including without limitation, claims for invasion of privacy rights or publicity.

I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name or, if I am less than eighteen years old, that my parent or guardian has signed this release form below.