PHOTO AND VIDEO RELEASE
I grant permission to use my photograph or video recording of me in print or online materials designed for news, informational, educational or advocacy purposes by UNITE Pinellas, the Foundation for a Healthy St. Petersburg or the Center for Health Equity.
I understand and agree that such photographs and/or video recordings of me may be placed on the Internet. I also understand and agree that I may be identified by name and/or title in printed, Internet or broadcast information that might accompany the photographs and/or video recordings of me. I waive the right to approve the final product.
I hereby release, acquit and forever discharge the above-named entities from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of said photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness or defamation.
I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name or, if I am less than eighteen years old, that my parent or guardian has signed this release form below. This release is binding on me and my heirs, assigns and personal representatives.