PHOTO RELEASE FORM

Photo Release Form

 

I hereby authorize The Hero Within You Network Inc., to: 

 

(1) Record my image, likeness, and/or voice on a photographic, video, audio, digital, electronic, or any other medium; 

 

(2) Use, reproduce, modify, exhibit and/or distribute any such recording, in whole or in part, in any manner or medium now known or hereafter developed (including without limitation, print publications, DVDs, internet) for any legal purpose The Hero Within You Network may deem appropriate, including without limitation promotional or advertising efforts; and 

 

(3) Use my name and biographical material in connection with any such recordings or uses. 

 

I hereby understand that:

  1. There shall be no payment for this release
  2. No royalty, fee or other compensation shall become payable to me by reason of such use. 

 

I hereby waive the right to inspect or approve any such recordings and uses. I understand that The Hero Within You Network will be the owner of all such recordings and it may use the photos and recordings for internal communication, training purposes and grant purposes. The Hero Within You Network may also use the photos for print publications, promotional material, digital marketing and mass media.

 

I hereby release and hold harmless The Hero Within You Network from liability for any violation of any personal or proprietary right I may have in connection with all such recordings and uses. 

 

I hereby represent that I have read and fully understand the terms of this consent and release.

 

Child’s Name: _________________________

Parent’s Name: _________________________

Parent’s Signature: ________________________

Date: __________________________

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