Waiver & Acceptance
I understand the goals and commitments of the Leadership Madison County program. If selected, I will devote the required time and dedication to the program.
By signing this application, I hereby authorize Leadership Madison County, Inc. (LMC) to use, reproduce, and/or publishphotographs and/or video that may pertain to me - including my image, likeness and/or voice without compensation. I understand this material may be used in various publications, public affairs releases, recruitment materials, broadcast public advertising (PSAs) or for other related endeavours. This material may also appear on LMC's website. This authorization is continous and may only be withdrawn by my specific recession of this authorization. Consequently, LMC may publish materials, use my name, photograph, and/or make a reference to me in andy matther that LMC deems appropriate in order to promote/publicize service opportnuities.