By submitting this form, you are agreeing to the terms and conditions below. * fields are required
Terms and Conditions
Information/Photo Release Agreement
I grant The Art Of Elysium, it employees, agents, and contractors (hereafter “AofE”) the right to use motion pictures, videos, photographs & personal information (hereafter “Pictures”) at AofE’s discretion for commercial or non-commercial uses.
I assign to AofE all of my property rights, including copyrights, in and to the Pictures. The rights granted AofE herein are perpetual and worldwide. I expressly release AofE from any and all claims known or unknown arising out of, or in any way connected with, use of Pictures.
I confirm that I have the right to enter into this agreement, that I am not restricted by any commitments to third parties, that and other agents have no financial commitment or obligation to me as a result of this agreement, and that I will not receive any compensation.
Volunteer Release Form
I have read, understand, and agree to follow al of the guidelines, rules and restrictions set forth by The Art of Elysium in the Volunteer Handbook and the Volunteer Orientation.
I understand that The Art of Elysium and its Board of Directors accept no responsibility for the loss, damage, or theft of volunteer’s property. Furthermore, I hereby agree to waive, discharge and release any and all claims for damages for death, personal injury or property damage which the participant has, or which may accrue hereafter as a result of participation with The Art of Elysium. This release is intended to discharge in advance The Art of Elysium, its Board of Directors, and all agents involved with The Art of Elysium, from any and all liability claims, costs, expenses and/or damages (collectively referred to as “liability”) arising from or connected to the volunteer’s participation in any activities through The Art of Elysium, even though that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above.
I have requested to be a volunteer for The Art of Elysium. I understand that as a volunteer I may have access to confidential information about the children and families I will be working with.
I understand that any information that I obtain about a child and their family is confidential and that this information cannot be disclosed to anyone. I understand that the law provides for possible civil and criminal penalties for disclosure of confidential information. As well, I understand that a breach of this confidentiality is cause for dismissal.
I agree that I will not:
· Reveal information about the child’s identity, illness or treatment.
· Disclose conversations between child and/or family and health care providers.
· Share or publish photographs or videos of children and families.
· Reveal information obtain as a result from interactions with the child and/or family.
· Write or publish and written material which will contain names of any student or information from which the names or identities of any child and/or family can be discerned. If any material is written about my work as a volunteer, I agree that I will submit it to The Art of Elysium for approval.
· Disclose any general information about celebrity volunteers/artist.
I have read this statement and I understand my obligation to maintain patient confidentiality and by checking the 'Agree to Terms and Conditions' box, I agree to follow that obligation.