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Clever Parental Consent Form
Parental Consent of Participant License, Release, and Waiver
CONSENTIMIENTO PARENTAL PARA LA LICENCIA, LIBERACIÓN Y RENUNCIA DEL PARTICIPANTE
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Consent
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I grant to Clever Inc. and its subsidiaries and affiliates, and assigns (collectively, “Clever”) an unrestricted, irrevocable, perpetual, worldwide, royalty-free license to use my child’s feedback, voice, image, persona, likeness, and performance in any written materials and in any audio, visual, and audiovisual recordings (including, but not limited to, photographs, digital images, digital video, digital audio, video tape, and audio tape) taken or to be taken of my child by or on behalf of Clever (the “Content”). This license includes the right to:
Reproduce, modify, create derivative works of, and otherwise use the Content or derivative work thereof, in whole or in part, in any manner and matter or in combination with any other material, in any format or media, whether now existing or hereafter devised, including, but not limited to, text, data, images, photographs, illustrations, animation and graphics, video, audio, and all formats of computer readable electronic, magnetic, digital, laser, or optical-based media (the “Works”).
Any lawful use, including publicly display, distribute, broadcast or transmit the Works by any means now known or hereafter devised.
I waive all rights, including any right of prior approval, and release Clever from, and will neither sue nor bring any proceeding against Clever for, any claim or cause of action, whether now known or unknown, for defamation, copyright infringement, and invasion of the rights to privacy, publicity, or personality or any similar matter, or based upon or relating to the use and exploitation of the Content. I understand that no royalty, fee or other compensation shall become payable to me by reason of the use of the Works. I represent that I am the parent and/or legal guardian of the Child described below.
I agree that there is no obligation to use the authorization granted by me hereunder. The terms of this authorization commence on the date below and continue in perpetuity.
Parent/Guardian Details Information provided is for parental consent only and will not be shared with unaffiliated third parties per our Privacy Policy.
1. Reproduce, modify, create derivative works of, and otherwise use the Content or derivative work thereof, in whole or in part, in any manner and matter or in combination with any other material, in any format or media, whether now existing or hereafter devised, including, but not limited to, text, data, images, photographs, illustrations, animation and graphics, video, audio, and all formats of computer readable electronic, magnetic, digital, laser, or optical-based media (the “Works”).
2. Any lawful use, including publicly display, publicly perform, sell, rent, distribute (directly or indirectly), transmit, or broadcast the Works by any means now known or hereafter devised.
I waive all rights, including any right of prior approval, and release Clever from, and will neither sue nor bring any proceeding against Clever for, any claim or cause of action, whether now known or unknown, for defamation, copyright infringement, and invasion of the rights to privacy, publicity, or personality or any similar matter, or based upon or relating to the use and exploitation of the Content. I understand that no royalty, fee or other compensation shall become payable to me by reason of the use of the Works. I represent that I am the parent and/or legal guardian of the Child described below. I agree that there is no obligation to use the authorization granted by me hereunder. The terms of this authorization commence on the date below and continue in perpetuity.
Parent/Guardian Details Information provided is for parental consent only and will not be shared with unaffiliated third parties per our Privacy Policy.
I consent
Consiento
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Yo otorgo a Clever Inc. y sus subsidiarias, afiliadas, licenciatarios, sucesores y cesionarios (colectivamente, “Clever”) una licencia sin restricciones, sublicenciable, asignable, irrevocable, perpetua, mundial y libre de regalías para usar los comentarios, la voz, la imagen, la persona, la semejanza y la actuación de mi hijo(a) (y/o mía) en cualquier material escrito y en cualquier grabación de audio, visual y audiovisual (incluyendo, pero no limitado a, fotografías, imágenes digitales, video digital, audio digital, cintas de video y cintas de audio) tomada o que se tomará de mi hijo(a) y/o de mí por o en nombre de Clever (el “Contenido”). Esta licencia incluye el derecho a:
1. Reproducir, modificar, crear obras derivadas y utilizar de otra manera el Contenido o cualquier obra derivada de este, en su totalidad o en parte, de cualquier manera y forma o en combinación con cualquier otro material, en cualquier formato o medio, ya existente o que se desarrolle en el futuro, incluyendo, pero no limitado a, texto, datos, imágenes, fotografías, ilustraciones, animaciones y gráficos, video, audio y todos los formatos de medios electrónicos, magnéticos, digitales, láser u ópticos legibles por computadora (las “Obras”).
2. Cualquier uso legal, incluyendo exhibición pública, ejecución pública, venta, alquiler, distribución (directa o indirectamente), transmisión o difusión de las Obras por cualquier medio conocido ahora o que se desarrolle en el futuro.
Renuncio a todos los derechos, incluyendo cualquier derecho de aprobación previa, y libero a Clever de, y no demandaré ni iniciaré ningún procedimiento contra Clever por, cualquier reclamo o causa de acción, ya sea conocida o desconocida, por difamación, infracción de derechos de autor e invasión de los derechos de privacidad, publicidad o personalidad o cualquier asunto similar, o basado en o relacionado con el uso y explotación del Contenido.
Entiendo que no se me pagará ninguna regalía, tarifa u otra compensación por el uso de las Obras. Declaro que soy el padre/madre y/o tutor legal del Niño descrito a continuación.
Acepto que no hay ninguna obligación de usar la autorización otorgada por mí en este documento. Los términos de esta autorización comienzan en la fecha que se indica a continuación y continúan a perpetuidad.
La información proporcionada es solo para el consentimiento parental y no se compartirá con terceros no afiliados de acuerdo con nuestra Política de Privacidad.
Consiento
Parent/Guardian Full Name
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Nombre completo del padre/madre/tutor (requerido)
Parent’s/Guardian’s Email Address
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Correo electrónico del padre/madre/tutor (requerido)
Parent/Guardian Phone Number
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Número de teléfono del padre/madre/tutor (requerido)
Child's Full Name
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Nombre completo del niño (requerido)
Today's Date
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Fecha (requerido)
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