Photo & Video Waiver Release Form

Photo & Video Waiver Release Form

Everyone who attends must fill out this form. Volunteer, Worker, Guardian, etc.
DateTime*
I hereby grant the releasee permission to use photographs in any of the following:
Release of Photographs in*

Web-based publicationsPrint AdvertisementsOrganization Bulletin
I hereby affirm that such release to the releasee does not constitute any form of compensation, including royalties arising from the photographs, to my benefit.

I understand and agree that photographs in the possession of the releasee shall become the property of the releasee. The use and publication of the photographs however, shall conform to my rights as a subject of said photographs.

I hereby hold harmless, release, and forever discharge Love N’spired Inc. Non-Profit Organization from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I declare my age of consent, and in case I am under the age of such consenting age, I have obtained the required consent from my parents/guardians as evidenced by the signatures below:
Age of Consent*

I am of legal ageI am a minor and represented by my parent/guardian
Name of Person Subject of Photograph*
First & Last / and Nickname
Signature*

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Name of Parent/Guardian of Person Subject of Photograph*
Signature of Parent/Guardian*

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Phone Number
Please enter a valid phone number.
Date SIgned

MonthDayYear
Date
Should be Empty: