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 SHOUT Autism 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 SHOUT Autism 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 SHOUT Autism non profit organizations control. I agree that I will not hold SHOUT Autism responsible for any harm that may arise from such unauthorized reproduction.