Photo, Audio & Video Release Form for Jeremy Krauss Approach Workshops hosted by Movement and Creativity

Declaration of Consent to the Use of Images of Persons

I hereby grant Movement and Creativity, LLC and JKA International authorization to use my image, words and sound, that were recorded in audio or video during Jeremy Krauss Approach Workshops hosted by Movement and Creativity for educational and promotional purposes. I waive the right to inspect or approve the finished product in which my image appears. In addition, I waive any license fees or other compensation that arise in connection with the use of my image or my recording. There is no time limit for the validity of this authorization; likewise there is also no regional-geographic or content-related limitation for the storage, use and dissemination of the material. In signing up for this workshop, I confirm that I have read and understood the above declaration and am in agreement with it.