DECLARATION OF USE

I (Parent Name) ________________________of (Player Name) ________________________hereby give my/our permission for Juventus Academy Melbourne, Juventus FC to have sole and exclusive rights of the images and films, which may be used in their entirety or as individual parts and components, including in the form of film clips, edited films and adaptations, without any limitation, and with ample power of transference to third parties.

I acknowledge and agree that the profile and any photographs taken may be used by Club Italia, Juventus Academy Melbourne, Juventus FC for any and all commercial applications for the purpose of promoting Club Italia, Juventus FC and its subsidiaries and may be altered by the photographer and used as such.

I (Parent Name) ________have no further claim over the video, photos or profile information and hand over full ownership and copyright to Club Italia, Juventus FC and acknowledge that I have no right to inspect or approve any photos or video used.

Name of Player: _______________

Name of Parent/Guardian: _______________

Signature of Parent/Guardian: ______________

Date: _ /__/___