Parental Consent and Authorization Form for Youth Participation

For good and valuable consideration, the sufficiency of which is hereby acknowledged, I hereby grant to the Boy Scouts of America, along with its agents, successors, assigns and licensees ("BSA"), the right to use, publish, distribute, exhibit, advertise and exploit my photographs, pictures, portraits, images, and likeness of my minor child       __________________________________________________________________ (“my Child”) (hereinafter collectively “Photography”), in and in connection with any and all informational, marketing, advertising and any other form or type of material or web site pertaining to, for or on behalf of the Long Cane District or any of its parent or affiliated organizations, in all manner, form and media, whether now known or hereafter developed, throughout the Universe, in perpetuity.

I agree that all such Photographs, and the copyright(s) embodied therein, are owned exclusively by the Boy Scouts of America, and that the Boy Scouts of America or its designee(s) may register such copyright(s).  If I or may Child should receive any print, negative or other copy of the Photography, I/we will not authorize use by anyone else. I further acknowledge and agree that neither I nor my Child has or shall have in the future any ownership interest whatsoever in any copyright(s) (i) in the Photography; or (ii) in any of the informational, marketing, or advertising material, or any other material which utilizes, incorporates or consists of the Photography.

I agree that no material need be submitted to me for any further approval and that The BSA shall be without liability to me or my Child for the use or alteration, in any fashion, of the Photography or any portion thereof.

I warrant and represent that this release does not in any way conflict with any existing commitment by or on the part of my Child.

Nothing herein shall constitute any obligation on the part of the Boy Scouts of America to make any use of any of the rights granted or reserved herein.

MY CHILD IS NOT CURRENTLY A MEMBER OF ANY PERFORMING ARTIST UNION.

This consent and grant of rights is given in exchange for valid consideration and is irrevocable so that the Boy Scouts of America may proceed in reliance thereon.

This release shall be governed by the internal laws of the State of South Carolina and Texas.  Notwithstanding any provision of law to the contrary, no ambiguity in this release, if any, shall be construed against the Boy Scouts of America as the draftsman.  Any dispute which may arise between the BSA and me, including but not limited to disputes regarding interpretation of this general release, shall be resolved by an action brought by either party against the other only in the courts located within Irving, Texas, and I hereby expressly consent to exclusive jurisdiction therein.

NAME (PRINT):  _________________________________________________________________

SIGNATURE:  ___________________________________________________________________

SOCIAL SECURITY #:  _______________________________________________________________________________

ADDRESS:  _______________________________________________________________________________

PHONE:___________________________________________________________