Photo and Video Release


For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby grant Moodment Dance permission to use my likeness in photograph and video in any and all of its publications, including but not limited to all of Moodment Dance's printed and digital publications. I understand and agree that any photograph or video using my likeness will become property of Moodment Dance and will not be returned.


I acknowledge that since my participation with Moodment Dance is voluntary, I will receive no financial compensation.


I hereby irrevocably authorize Moodment Dance to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing Moodment Dance's programs or for any other related, lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.


I hereby hold harmless and release and forever discharge Moodment Dance, its officers, directors, employees, agents and third parties, from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

If I am under the age of 18, my parent/guardian must register and sign this release on my behalf. 


Date: February 21, 2021