Media Consent Form

THIS MEDIA CONSENT FORM (the “Agreement”) is made and entered into as of the date below (“Execution Date”) between Starting with Jesus Ministry, an entity that is part of AudioVerse of PO Box 2288, Collegedale, TN 37315 (SWJ”) and the undersigned parent (Parent”).

The SWJ may choose or is currently engaged in the business of creating media, which includes but is not limited to engaging in the following activities as a non-profit: filming, film/video editing, and film/video production; photography, photo editing, and photo production; digital photography, digital photo editing, and digital photo production; documentary production and editing; sound recordings; sound manipulation and music productions; television production; and web design and production.

The Parent consents to their child being a subject of the SWJ in media. The Parent will allow SWJ to use images and sound recordings of their child for use in media.


SWJ IS RELEASED OF LIABILITY: For good and valuable consideration herein acknowledged as received, the Parent releases SWJ and assigns permission to license all images and sound recordings and the use of images and sound recordings in any media for any purpose which may include, among others, advertising, promotion, marketing and packaging for any product or service. The Parent agrees that any images and sound recordings may be combined with other images, text and graphics, cropped, altered and modified.

SWJ RETAINS ALL RIGHTS: The Parent agrees that SWJ has all rights to images and sound recordings, for perpetuity unless explicitly noted in this Agreement. The Parent acknowledges and agrees that SWJ is not liable for any further consideration, accounting, or claim for any reason.

DURATION OF AGREEMENT: The Parent acknowledges and agrees that this Agreement is binding on all heirs and assigns. The Parent acknowledges and agrees that this Agreement is irrevocable, worldwide and perpetual. In witness whereof, the Parent has executed this release on the date below.

This Agreement contains the entire agreement between the parties to this release and the terms of this Agreement are contractual and not a mere recital.

This Agreement will be construed in accordance with and governed by the laws of the State of Tennessee.

AS THE CHILD MODEL IS UNDER THE LEGAL AGE OF MAJORITY: I am the parent or legal guardian of the child to be used in various media creations by SWJ and I have legal authority to execute this Agreement on the child’s behalf. I have read and fully understood the contents of this Agreement, and consent to the said use of images and sound recordings based on the contents of this Agreement.


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