Model Photo Permission Form: Latino LinQ Photo Session 6-8 pm on Saturday, May 13, 2017
PURPOSE: Photo Shoot to support Latino LinQ, a non-profit charitable organization in Atlanta providing supportive services for Latinos/Latinas of any sexual orientation and any gender identity
DATE: Saturday, May 13, 2017
ARRIVAL TIME: 6pm all models must arrive for check-in, registration and light makeup
PHOTO SESSION BEGINS: 7pm photo session will begin promptly
PHOTO SESSION FINISHES: 9pm photo session will end promptly
IMPORTANT: As a courtesy and in appreciation for your volunteer service as a model, you will receive high-resolution copies of your modeling photos from this event.
LOCATION: Private photo studio in Castleberry Hill (part of Atlanta, Georgia) near "No Mas Cantina"
I grant to Latino LinQ and its representatives the right to take photographs of me and my property without payment or other consideration as part of educational public advertising and marketing campaigns aimed at promoting awareness of the importance of personal health, using condoms, getting an HIV test, getting medical care, communicating with one’s intimate partner, and sexual health in general. These campaigns will be directed to gay, lesbian and bisexual persons with a primary focus on the Latino population of Metro Atlanta. My authorization also extends to allow Latino LinQ to use these photographs of me and my property for other purposes such as use in Latino LinQ educational materials, brochures, newsletters, flyers, posters, advertisements, fundraising letters, annual reports, press kits, banners, submissions to journalists, websites, social networking sites and other print and digital communications. This authorization extends to all languages, media, formats, and markets and this authorization shall continue indefinitely and may not be revoked.

I understand and agree that all photos will become the property of the Latino LinQ and will not be returned.

I hereby irrevocably authorize Latino LinQ to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

I hereby hold harmless, release, and forever discharge Latino LinQ from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I authorize Latino LinQ and its representatives, its assigns, and transferees, the full right to copyright, use, and publish the same in print and/or electronically. I agree that Latino LinQ and its representatives may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

Authorization: *
My name as it appears on my identification (Mi nombre tal como aparece en mi identificación) *
Your answer
My phone number (Mi número de teléfono) *
Your answer
My address (Mi dirección de hogar) *
Your answer
My email (Mi dirección de correo electrónico) *
Your answer
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