Image Consent Statement For A Minor (Under 18)

I,                                                                         am the parent/guardian of                                                                         (“Minor”), and I consent to the taking of the Minor’s image by                                                         :

  1. The Minor’s image may be used, reproduced, and published for promotional, educational, and/or informational purposes related to the activities of The World Academy of Sciences for the advancement of science in developing countries (UNESCO-TWAS) and the Conrado Wessel Foundation (FCW) (the Organizations) for an unlimited period of time, throughout the world, including in accordance with the UNESCO’s Open Access (OA) Policy and open licensing terms.
  2. The Minor’s image may be used on the Organizations’ website, social media accounts, in photographs or videos, in printed materials, or in other media (collectively referred to as “content”) as determined by the Organizations.

I acknowledge that I have no right to inspect or approve the finished product or the use to which the image may be applied. I acknowledge that the Minor and Parent/Guardian will not receive any financial or other type of compensationarising from or related to the use of the image.

I acknowledge that the photographer will own and has rights to the content as an intellectual property asset. Regardless, I understand that the Minor retains ownership of their image within the content. The image is their likeness and is a personal attribute that remains their own.

I may revoke consent at any time for future use or distribution of the image by the Organizations by providing written notice. I also have right to access and request correction of any personal data held by the Organizations about the Minor. The rights outlined in this statement apply equally to the individuals who were previously Minors but are now adults at the age of majority (18). To exercise the rights in connection with this statement, I can contact pio@twas.org. For any other questions regarding the processing of personal data, I can contact privacy@unesco.org.

I acknowledge that the Organizations are not responsible for any unauthorized use of the image by third parties.

I acknowledge that I have read and fully understand this consent statement, and that I am signing it voluntarily and without any coercion or pressure from the Organizations or its representatives.

Relation to the Minor: [The adult’s relation to the minor]

Signed: [Parent/Guardian’s signature]

Date: [Date of signature]

Address and/or Email of Parent/Guardian: [Email/Address]

 

TO BE FILLED IN BY PHOTOGRAPHER:

Date of the photograph: [Date]

Location: [Location of photograph]