Awards Luncheon Registration and Publication Release Form

Parents and Legal Guardians: Please fill out this form carefully to provide consent for your child’s essay and photo to be published. You will also use this form to register for the MAXCourage Children’s Celebration, our annual awards luncheon for the published authors!

This year’s celebration is on Thursday, May 22, from 12:00 to 2:30 p.m. In addition to themself and their teacher, each student may bring two adult guests.

If you have any questions, email our Program Director at molly@maxcourage.org!

  • In consideration of my child’s participation, I consent and grant permission for my child’s essay, name, school identity, and/or photograph to be printed in The Courage of Children: Boston and Beyond, a publication of The Max Warburg Courage Curriculum, Inc. (“MAXCOURAGE”), and any other publication, at the sole discretion of MAXCOURAGE, without compensation or further notice.  I also consent to the use of my child’s essay, photograph, likeness, voice, video and/or identity, including composites, without compensation or further notice, in any publication by or for the benefit of MAXCOURAGE, including but not limited to public or private displays, exhibits, broadcasts, newspapers, publications, brochures, videotapes, and electronic broadcast or publication on the World Wide Web, in such manner and at such times and in such places as MAXCOURAGE shall determine in its discretion.

    All essays and photographs are the property of MAXCOURAGE.  I hereby forever assign all right, title, and interest in the copyright of my child’s essay and/or photograph to MAXCOURAGE. 

    I, the undersigned below  (mother/father/parent/legal guardian) of the minor listed below, do hereby RELEASE, discharge, and covenant to hold harmless The Max Warburg Courage Curriculum, Inc., its officers, directors, employees, and volunteers, from any and all causes of action, liability, claims or lawsuits on account of or arising, directly or indirectly, from my child’s participation in the MAXCOURAGE essay program or contest, including but not limited to all claims for known or unknown injuries, all claims arising from or related to the use, publication, display and/or broadcast of my child’s photograph, likeness, identity, voice, or essay in any form, and all claims or legal rights of action for damages which my child has or hereafter may acquire, either before or after he/she has reached the age of majority, resulting from his/her participation in the MAXCOURAGE essay program or contest.