THE UNDERSIGNED HEREBY PERMITS THE DIOCESE, and media outlets to make and use photographic likeness of my son/daughter, in a still or video commercial, to be exhibited by television broadcasting and/or the internet at the said media outlets. The material will be used for news and/or Diocesan purposes. It will also be utilized in Diocesan print materials and any forms of media release and/or video produced to help the Diocese.
THE UNDERSIGNED further expressly agree(s) that the forgoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the laws of the State of Texas and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. THE UNDERSIGNED HAS (HAVE) READ AND VOLUNTARILY SIGN(S) THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT and further agree(s) that no oral representations, statements or inducement, apart from the foregoing written agreement, have been made.