Photo Release Form for Adults
Please review and sign below
Email address *
I, ___(Print name below)________________ hereby grant and authorize Silver Liming Foundation *
the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me to be used in and/or for any lawful promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites, social networking sites and other print and digital communications, without payment or any other consideration. This authorization extends to all languages, media, formats and markets now known or later discovered.This authorization shall continue indefinitely, unless I otherwise revoke this authorization in writing.I waive the right to inspect or approve any finished product in which my likeness appears, including written or electronic copy.I agree that I have been compensated for this use of my likeness or have otherwise agreed to this release without being compensated. I waive any right to royalties or other compensation arising or related to the use of the photographThis authorization extends to all languages, media, formats and markets now known or later discovered.This authorization shall continue indefinitely, unless I otherwise revoke this authorization in writing.I waive the right to inspect or approve any finished product in which my likeness appears, including written or electronic copy.I agree that I have been compensated for this use of my likeness or have otherwise agreed to this release without being compensated. I waive any right to royalties or other compensation arising or related to the use of the photograph. I understand and agree that these materials shall become the property of Silver Liming Foundation and will not be returned. I hereby hold harmless and release Silver Liming Foundation from all liability, petitions, and causes of action which I, my heirs, representative, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate.I warrant that I am of full age and have every right to contract in this regard. I state further that I have read the above authorization, release, and agreement, prior to its execution, and that I am fully familiar with its contents. This release shall be binding upon me, and our respective heirs, legal representatives, and assigns. *
Print Name, Signature and Date (This is a binding document) *
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