I hereby grant the PROTECT CHILD HEALTH COALITION and FAMILY WATCH INTERNATIONAL permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
I understand and agree that all photos will become the property of the PROTECT CHILD HEALTH COALITION and FAMILY WATCH INTERNATIONAL and will not be returned.
I hereby irrevocably authorize the PROTECT CHILD HEALTH COALITION and FAMILY WATCH INTERNATIONAL to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.
I hereby hold harmless, release, and forever discharge the PROTECT CHILD HEALTH COALITION and FAMILY WATCH INTERNATIONAL from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS, AND THAT I AGREE TO ALL OF THE STATEMENTS IN THIS RELEASE FORM AND AGREE TO BE BOUND BY THEM.