Media Release Form
"Let No One Go Hungry"
Volunteer Name
Phone Number
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Date
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Month
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Day
Year
Date
E-mail
Conditions
The Releasor grants permission to RFDA (“Releasee”) to use their image, voice, or likeness in photographs, audio recordings, or video recordings on Releasee’s website and social media accounts, including, but not limited to, Facebook, Instagram, TikTok, and X (Twitter), with or without acknowledgment or recognition given to the Releasor.
The Releasor certifies that they are 18 years of age or older. If the Releasor is under the age of 18, their parent or guardian must sign this Release.
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I have read and understand the terms of this model release
Signature
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SUBMIT
Should be Empty: