Photo/Video Consent & Release Form

For good & valuable consideration, the receipt & sufficiency of which are hereby acknowledged, and for and on behalf and in the name of the child(ren), I hereby consent to the unrestricted use by RMHC Ireland of the child(ren)’s and our (parent’s) names, address & statements, and all video or audio recordings (including, but not limited to photographs, videotapes, films, voice recording or other representation of our family) taken of our family and any reproductions thereof in any form, style or colour whatsoever, together with any writing and/or other materials in connection therewith (including, without limitation, any correspondence from our family to RMHC Ireland or anyone affiliated with RMHC Ireland for the purposes of publicizing RMHC Ireland

For and on behalf and in the name of the family I hereby release RMHC Ireland Ltd, McDonalds Restaurants of Ireland and their respective affiliates, franchises, officers, directors, trustees, employees, volunteers, agents and all other parties in interest from any and all present or future claims, damages or causes of action for libel, slander, invasion of privacy or any other claim that the family may have arising out of, resulting from, or in connection with such use.

I hereby represent that I have read and understand this Consent & Release and that this Consent & Release is given freely without limitation upon, or liability for, any use in connection with publicizing RMHC Ireland Ltd

I hereby represent that I am the legal guardian of aforementioned “the child(ren)”

Website Photo Release Waiver

I hereby grant to Ronald McDonald House Charities Ireland, their advertising and promotional agencies, agents and representatives the irrevocable, unrestricted worldwide right to use, publish, display, broadcast, edit, modify and distribute materials I have created and/or written, including without limitation, such materials bearing my name, voice, image, likeness and/or any other identifiable representation of myself (collectively,” My Written Product and/or Likeness”). These materials may appear in any form, style, color or medium whatsoever now known or later developed (including, without limitation, in print, photographs, videotapes, films, sound recordings, software, drawings, prints, broadcast, internet and electronic media).

I agree that all materials containing My Written Product and/or Likeness (including, without limitation, all documents, negatives, plates and masters of any photographs, files, prints or tapes) shall be and remain the sole and exclusive property of Ronald McDonald House Charities Ireland and I hereby assign any right I may have acquired in or to such material to Ronald McDonald House Charities, Ireland. I hereby release and forever discharge Ronald McDonald House Charities, Ireland from any and all claims, liabilities and damages relating to the use of My Written Product and/or Likeness.

I hereby waive any right I may have to inspect or approve the finished materials or any part or element thereof that incorporates My Written Product and/or Likeness.

I have agreed to the above in consideration of the opportunity given to me by Ronald McDonald House Charities, Ireland to appear in these materials. I acknowledge that I have fully read and understand this document and that I have had any questions regarding its effect or the meaning of its terms answered to my satisfaction. I certify that I am at least 18 years of age, unless this document is also signed by my parent or legal guardian.

I represent that I am a parent or legal guardian of the person identified above, who is a minor. I understand the above and consent to the use of his/her Written Product and/or Likeness as set forth above.