Prospect Burma Photo Release Form

Prospect Burma
PHOTO/VIDEO RELEASE FORM
I give Prospect Burma permission to use photographs or video images of me. I understand that these images: may be used by Prospect Burma in a range of instances which may include printed materials, online content, social media, or presentations. may be edited or modified, for example cropped or flipped. may be used to depict me by name, or may be used for illustrative purposes, for example as a generic photograph about students, supporters, or Prospect

If the photograph was taken on Prospect Burma business, Prospect Burma holds the copyright. In all other cases, copyright for the original image remains with the original photographer, and this form acts as permission for Prospect Burma to use images of you in the circumstances described above.

I have read this form, understand its meaning, and am over 18 years of age:
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Email
example@example.com
Date

MonthDayYear
Date
Please return this form to communications@prospectburma.orgor to the person who

provided it to you. Please contact the same email if you have any questions.
Should be Empty:

Prospect Burma