Form

Consent to Photograph /Videotape / Interview Individuals Please read, date and provide your signature on the next pages Terms & Conditions I hereby agree and give my permission for A Better Day Than Yesterday Initiative Program and/or partners to record, film, photograph, audiotape or videotape myself (hereinafter collectively referred to as “Works”) and to display, publish or distribute these Works for the purpose of publishing, posting on the A Better Day Than Yesterday Initiative Program website and posting on social media sites. I hereby waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and I waive any right to any royalties related to the use of these Works. I understand that the Works may appear in electronic form on the internet or in other publications outside of the A Better Day Than Yesterday Initiative Program’s control. I agree that I will not hold the A Better Day Than Yesterday Initiative Program responsible for any harm that may arise from such unauthorized reproduction.

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