LEAD Brevard’s mission is working together to strengthen our community by inspiring people to lead. To showcase the impact ‘YOU’, as a Leadership Brevard graduate, is making in our community, we’re gathering the stories of the connections and successes that you have and want to feature you! The information you share will be used to tell the community – “Here’s what we have accomplished.”
If applicable, Leadership Brevard class of year .
Permission to Use Image/Testimonial Data
I, Signature* give LEAD Brevard, the absolute right and unrestricted permission to take, use my name, testimonial, and biographical data and/or publish, reproduce, edit, exhibit, project, display, and/or copyright photographic images, pictures, video, or recordings of me through any form of media (print, digital, electronic, broadcast or otherwise) for art, advertising, recruitment, marketing, fundraising, publicity, archival or any other lawful purpose. I waive any right that I may have to inspect and approve the finished product that may be used or to which it may be applied now and/or in the future, whether that use is known to me.I understand that virtual programming may be recorded and grant permission for LEAD Brevard and/or any person(s) or entities authorized on LEAD Brevard’s behalf to record tape, film, photograph, edit, alter, digitize, or otherwise capture and preserve in permanent from my name, likeness, biographical material, voice, and/or performance/display. I further grant permission for LEAD Brevard or any person or entity authorized by it, to broadcast, publish, or transmit all or any portion of the recording or altered/edited recording in any form, via any means.I have read and understand the above:Signature* First Name* Last Name* Date*