I authorize Mid-Ohio Psychological Services, Inc. and its representatives, employees, agents, and affiliates to take photographs, video, record, and utilize my image, voice, interview, and performance. I agree that Mid-Ohio Psychological Services, Inc. may use and authorize the use of any part of this documentation for, but not limited to, promotional materials, publication, educational, social media, and website purposes. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording.
I hereby release and discharge Mid-Ohio Psychological Services, Inc., its representatives, employees, agents, and affiliates from any claims, demands, or causes of action that I may have against them arising out of or in connection with the use of the photographs and/or videos, including any claims for defamation, invasion of privacy, or infringement of moral rights.
I voluntarily agree to this agreement with the understanding that the media collected may be utilized on an ongoing basis with no expiration date and will not be destroyed. I am free to withdraw my consent at any time without prejudice by notifying Mid-Ohio Psychological Services, Inc by email to events@mopsohio.com.