Juiced TV – Media Consent and Release Form 

I,  the Parent or Guardian of the Child: 
a) give my consent and permission for Juiced Enterprises Pty Ltd and its related entities, representatives, officers, employees, sponsors, supporters (including the Children's Hospital Foundation) and volunteers (Juiced TV), the irrevocable, perpetual right to use, reproduce, adapt, broadcast, licence and disclose recordings or images of myself and my name in any form or medium (Content) throughout the world, for a purpose in connection with:

i) the activities of Juiced TV, including the Juiced TV show and educational activities; and 
ii) Juiced TV's sponsors and supporters, including hospitals, hospital foundations and corporate entities publicizing their association with Juiced TV; 

b) acknowledge that for the benefit of Juiced TV, I waive
any rights that I, or any person associated, may have in connection with the use of the Content, including any right of approval, right to claim remuneration or compensation, or right to claim copyright, moral rights or any other intellectual property rights in respect to the Content; and 

c)
confirm I am authorised to give the above