Photograph & Video Release Form I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the 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 my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area. 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 public educational setting. 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. I hereby release any and all claims against any person or organization utilizing this material for educational purposes. Full Name___________________________________________________ Street Address/P.O. Box________________________________________ City ________________________________________________________ Phone ___________________________ Fax _______________________ Email Address________________________________________________ Signature____________________________ Date____________________________ If this release is obtained for a person under the age of 19, then the signature of that persons’s parent or legal guardian is also required. Parent’s Signature_____________________ Date____________________________ We will be filming the anti bullying documentary at the Plumas Charter School in East Quincy on Wednesday December 10th immediately after school. Than you. This is a dramaworks’ SWEET program project from a grant given by the Friday Night Live Partnership.
Posted on: Tue, 02 Dec 2014 01:28:52 +0000