Media Waiver- All registrations required to consent or decline at registration and prior to participation in Your After School Programs.  

I, as the parent/ guardian of the student I am enrolling in Your After School program(s), hereby grant to Darien After School, their successors, and their assignees the right to record the image and/or voice and use the artwork and/ or written work of my child, on videotape, on film, on photographs, in digital media and in any other form of electronic or print medium and to edit such recording at their discretion. I understand that my child’s full name, address and biographical information will not be made public. I further grant Your After School, LLC, their successors, and their assignees the right to use, and to allow others to use, my child’s image and/or voice on the internet, in brochures, and in any other medium and hereby consent to such use. I hereby release Your After School, LLC, their successors, and their assignees and any using my child’s image and/or voice, artwork, and/or written work pursuant to this media release form any and all claims, damages, liabilities, costs and expenses which I or my child now have or may hereafter have by reason of any use thereof.

Your After School is a separate business entity from your public school district. Contact [email protected] for more information.