Free Coding Classes in Newark, Jersey City, and other underserved areas


Blissful Us, a NJ Registered 501(c)(3) Nonprofit Organization (EIN  83-0724455)

AUTHORIZATION AND RELEASE AGREEMENT

I hereby grant Blissful Us its legal representatives, agents, successors or assigns, permission to use any submitted content including all articles, artwork, software projects and my likeness in photographs, movie films, videotapes, and/or sound records (collectively “Materials”), or any part thereof in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these Materials will become the property of Blissful Us and will not be returned. 

I hereby irrevocably authorize Blissful Us to edit, alter, copy, exhibit, publish in all print or electronic media or distribute the Materials for purposes of publicizing Blissful Us programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product derived from Materials, including written or electronic copy. Additionally, I waive any right to royalties or other compensation arising or related to the use of the Materials. 

I hereby hold harmless and release and forever discharge Blissful Us legal representatives, agents, successors or assigns, from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. 

I am 18 years of age and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release. 

If the person signing is under age 18, there must be consent by a parent or guardian, as follows: 

I hereby certify that I am the parent or guardian of child mentioned on the form provided by Blissful Us, and do hereby give my consent without reservation to the foregoing on behalf of this person. 

(Signature) (Date) 

(Printed Name)

 

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Address

Livingston, NJ 07039