UEC Media Release Form

This form grants Ulnooweg Education Centre and its program partners permission to record and use a participant’s image, voice, or likeness for educational and promotional purposes.
Name of Person Appearing
Parent/Guardian Name
Please enter the parent/guardian's name if the person appearing is a minor.

I hereby grant Ulnooweg Education Centre and its partner organizations the right to:

  • Record my (or my child’s participation, if signing as guardian) image on video, audio, film, photograph, or any other medium.
  • Use my (or my child’s) image and likeness for any lawful purpose related to this Initiative and hereby release the Ulnooweg Education Centre from any liability of any kind, including, but not limited to, royalties to me or the participant, and our respective heirs, assigns, executors, and personal administrators, arising from or in any way connected to the initiative and the organization’s listed use.
  • Reproduce, distribute, publicly display and/or publicly perform, either electronically or by any other medium, and to allow others to do the same, the recordings and/or copies of the materials listed above, in whole or in part and without restrictions or limitations, for educational, marketing, social media and related purposes.

(If a minor) I represent, as parent or guardian of the person appearing, we shall both be bound by the terms of this Media Release.

I give my permission for the terms referenced and agree to be bound by this Media Release.
If you are unsure who our program partners are, speak to a staff member or reach out to us at education@ulnooweg.ca.
Clear Signature
If the person appearing is under the age of 18, a parent/guardian must sign.