Media Consent, Release and Wavier
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Email *
I hereby give consent to Starve Poverty International to photograph, videotape, or otherwise digitally record and use images and/or sound recordings of myself or my child or children (If applicable) to use in any public media, including radio, television, internet, social media, print or in any of the organization's or it partners publications, productions, or posts. I understand that the intended use of such images and information's is solely for the purpose for advertising, marketing, fundraising,  and/or the promotional and public awareness purposes for the organization. I hereby waive any rights or interest in the images or recordings, as contemplated in the release. *
I Acknowledge that this consent to use images and/or recordings is being made solely for the benefit of the organization and comes without any expectation of monetary compensation or other benefit to me. To the extent that any benefit accrues or might accrue to the organization from the use of images or information. I hereby and forever waive any interest in or claim to such benefits. *
I hereby release and forever discharge the organization (including without limitation all corporate affiliates and officers, directors, trustees, donors, employees, agents, and volunteers) from any and all claims, liability, actions, suits, demands, costs, expenses or indebtedness arising out of, related to, or in any way connected with the use of images and materials described herein, and I hereby waive all rights and interest in and to such information and materials. *
I further acknowledge that there is  no guarantee that any or all the participants' images or recording will be used in any released media. *
I have been informed that this authorization is voluntary and is subject to revocation at any time, except to the extent that action has been taken in reliance thereon, by notifying the organization in writing at: 6 Norwick Dr. Forked River, NJ 08731 *
Name of Adult ( parent or legal guardian if applicable) *
Name of Child/Children (If applicable) *
Date *
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A copy of your responses will be emailed to the address you provided.
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