Created Work, Photograph, and Video Release Form


I hereby grant permission to the rights of my child’s drawing, writing, or any other created work as taken on pictures, and image, likeness and sound of his/her voice as recorded on audio or video taped without payment or any other consideration at LU LU CHUI HIROBA. I understand that his/her work or image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein his/her likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of his/her work, image or recording.

Pictures, photographic, audio or video recordings may be used for the followings

  • LU LU CHUI HIROBA or LU LU CHUI homepages

  • LU LU CHUI related SNS pages and WebPages

By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the LU LU CHUI related setting.


I will be consulted about the use of the photographs or video recording for any purpose other than those listed above.


There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.


This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document only.


By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby.

Important Reminder

-If you are posting a picture or a video with more than one children, please get permissions above from all parents of the participants and please write all of their names (both parent and child) on posting form. The form needs to be submitted by only one representative.  

-Please make sure that there is no personal information that can be specified including any people, objects, notices, or buildings around you. 


April 23, 2018                     LU LU CHUI Office