I hereby grant “HappyLittle Toes Learning Center” or its authorized personnel an irrevocableright and permission to take and use photographs and/or video recordings of mychild (Name of child mentioned below) in publications, educational materials, ontheir website and other websites, promotional flyers, derivative works, andother electroniccommunications or for any other similar purpose. I authorize the use ofthese without any compensation. I understand and agree that such photographs and/orvideo recordings of my child may be placed on the Internet.   Iagree that my child’s name and identity: may be revealed in descriptive text orcommentary in connection with the photographs and or video recordings. I waivethe right to approve the final product and I agree that all such portraits,pictures, photographs, video and audio recordings, and any reproductionsthereof, shall remain the property of the “HappyLittle Toes Learning Center”.  Name of Child: ____________________________________   I have read and understood this document.

  I understand and agree that it is binding onme, my child (named above), our heirs, assigns and personalrepresentatives.  I acknowledge that I ameighteen (18) years old or more and that I am the parent of the child namedabove.  _________: Yes, I give consent.  _________: No, I don’t authorize.    _______________                                                                                          ___________________Signature of Parent                                                                                          Date   Printed Name of Parent: ____________________________________