MEDIA RELEASE FORM

Non-profit Agency

Signature

Files must be less than 15 MB.
Allowed file types: gif jpg jpeg png.

Individual Photo & Video Capture and Release Consent Form

I grant exclusive license to Aloha United Way to use my photograph, video, voice, or other likeness of me, including my full name, signature, and other biographical data (collectively, the “Photo”), without compensation, for any purpose. I acknowledge that my Photo may be used and distributed through any medium.
 
I relinquish all right, title and interest in my Photo. Except where I have provided my Photo to Aloha United Way, Aloha United Way shall be the sole owner and copyright holder of my Photo.
 
If my Photo has been provided to Aloha United Way by me, I represent that I am the owner of my Photo, that I have the legal right and authority to provide my Photo to Aloha United Way.
 
I agree to release, discharge, indemnify and hold harmless Aloha United Way from all liability whatsoever related to or connected with the use of my Photo.
 
Download the Photo Release form by clicking here.
 
If you have any questions or would like to submit the digital photo release form, please reach out to our marketing department at marketing@auw.org

 

Parent / Guardian Name (if under 18 years of age)

Files must be less than 15 MB.
Allowed file types: gif jpg jpeg png.

Signature