Media Waiver
Authorization to take and use video and/or
photographs and waiver and release of claims
I, ____________________________________, hereby grant Voice of the People in Uptown, Inc. (hereinafter referred to as Voice) and its directors, officers, employees, agents and designees, non-revocable permission to capture my image, likeness and voice in photographs, videotapes, motion pictures, recordings, or any other media (collectively designated herein as “Images”).
I acknowledge Voice will own such Images and further grant it permission to copyright, display, publish, distribute, use, modify, print and reprint such Images in any manner whatsoever so long as it is related to Voice operations and services, including without limitation, publications, advertisements, brochures, web site images, or other electronic or hard-copy displays and transmissions thereof. I further waive any right to inspect or approve the use of the Image prior to its use and waive any claim for compensation for use of my Images.
I forever release and hold Voice harmless from any and all liability arising out of the use of the Images in any manner or media whatsoever, and waive any and all claims and causes of action relating to use of the Images, including without limitation, claims for invasion of privacy rights or publicity.
Printed Name: __________________________________________
Signature: ___________________________________________
Date: ________________________
