BLA Photo Release Waiver

(for participants under the age of 18)

I, the individual completing this form, am the parent or legal guardian of the participant identified in this form (“my child”), a participant of the Brookfield Lacrosse Association try-it session(s), a program hosted by Brookfield Lacrosse at the Brookfield Sports Complex on November 6, 2023 and November 10, 2023 in Brookfield, WI.

I hereby consent to the publication and use of my child’s name and/or my child’s likeness (“Likeness”) for the purposes of promotion, publicity, advertising, or other manner or media by the Brookfield Lacrosse Association (“BLA”) or any other representative authorized to act on behalf of the afore-mentioned entity. Likeness shall include, but not be limited to, photographs, sound and/or video recordings, films, broadcasts, brochures, publications, reports, webpages, promotional materials or any other audio-visual, electronic, printed, tangible work in any media format, now known or hereafter to become known, and/or reproductions of any of these. I agree that the actual material involved is and shall continue to be the property of BLA and that neither I, nor my child, shall have any right of review or approval regarding the use of my child’s name and/or Likeness in such material.

I hereby release and hold harmless BLA along with their respective employees, agents, affiliates, sponsors, or other representatives from any and all claims, demands, or causes of action arising out of the use of my child’s name and/or Likeness, in accordance with the terms of this release. I understand and agree that neither I, nor my child, will be compensated in any way for the use of my child’s name and / or Likeness by BLA.