Media Release Form
I, {fullName}, (hereinafter referred to as "Releasor"), grants permission to Committee to Elect Jeremy D Haston (hereinafter referred to as "Releasee"), to use my media (photograph image and/or video footage and/or audio recordings).
I likewise understand that I may be identifiable from the reproduction of the media by the Releasee indicated herein this agreement.
I hereby waive my rights to inspect or approve the media for production that may be used by the Releasee for purposes stated herein, from hereon forward.
I likewise waive any right to royalties or any compensation arising from or related to the use of the image.