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MEDIA RELEASE FORM
Please PRINT the following information:
NAME:_________________________________ TITLE:_______________________________________
ADDRESS:____________________________________________________________________________
______________________________________________ CITY/STATE/ZIP:________________________
CELL/HOME PHONE:__________________ (OPTIONAL) EMAIL ADDRESS:_________________________
ORGANIZATION REPRESENTED (IF APPLICABLE):_____________________________________________
PHOTO/VIDEO/INTERVIEW DATE:_________________________________________________________
DESCRIPTION OF ACTIVITY/EVENT BEING DOCUMENTED:______________________________________
____________________________________________________________________________________
(FOR GROUP PICTURES) ORDER OF PERSONS FROM LEFT-RIGHT AND TOP-BOTTOM (BY LAST NAME):
__________________________________________________________________________________________
FOR INDIVIDUALS UNDER 18 YEARS OLD, PARENTAL/GUARDIAN AUTHORIZATION IS REQUIRED.
SIGNATURE:________________________________ PARENT/GUARDIAN:_______________________________
PRINTED NAME:______________________________________ DATE:_________________________________
(FOR OFFICE USE ONLY. NCCF REPRESENTATIVE OR AGENT NAME:____________________________________
I hereby grant the Nelson County Community Fund, Inc. (NCCF) and its agents or assigns permission and the right to copyright and/or use, reuse, publish, and/or republish photographic images, slides, digital images, videotape, film, audio, interview material or any combination thereof, for inclusion in any promotional, educational, or advertising purposes. I am waiving all rights to fees, and compensation for any use, replication, publication, or distribution of any such materials. I hereby release, discharge, and agree to hold harmless the Nelson County Community Fund, Inc. and its board of directors from any liability resulting from the use of the above mentioned photography, videotape, digital image, film, audio, and interview material with my name or image.
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2018-04-10T12:56:10-04:00
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