I hereby give AmeriFace, including National Cleft & Craniofacial Awareness & Prevention Month (NCCAPM), and including any and all entities and programs under the corporate structure of AmeriFace, any official event photographer(s) and/or videographer(s), whether contracted or volunteer in nature, any sponsor(s) of any portion of AmeriFace events, print and broadcast media outlets, or affiliates of these companies, the absolute and irrevocable right and permission, with respect to the photographs, video and/or film that are being taken of me and/or my child(ren) or in which we may be included with others, or photographs submitted by me for consideration for publication and/or other use:
a. To copyright the same in their own name or any other name that they may choose;
b. To use, reuse, publish and republish the same in whole or in part, individually or in conjunction with other photographs, in any medium and for any purpose whatsoever, including (but not by way of limitation) illustration, promotion and advertising and trade; and,
c. To use my/our name(s) in connection therewith if they so choose.
I hereby release and discharge AmeriFace, including National Cleft & Craniofacial Awareness & Prevention Month (NCCAPM), and including any and all entities and programs under the corporate structure of AmeriFace, any official event photographer(s) and/or videographer(s), whether contracted or volunteer in nature, any sponsor(s) of any portion of AmeriFace events, print and broadcast media outlets, or affiliates of these companies, from any and all claims and demands arising out of or in connection with the use of the photographs, including any and all claims for libel.
This authorization and release shall also endure to the benefit of the legal representatives, licensees and assigns of the above-named entities as well as the person(s) for whom the photographs are taken.
I grant permission for the publication of photographs as described above and will in no way hold AmeriFace, including National Cleft & Craniofacial Awareness & Prevention Month (NCCAPM), and including any and all entities and programs under the corporate structure of AmeriFace or its agents responsible for unauthorized use of said materials.
I understand that by clicking the "SUBMIT FORM" button below I am submitting my electronic signature on this agreement, including permission and release for any minor child/children represented in any acquired and/or submitted photographs/video.
Photography/Videography Permission and Release
© NCCAPM All Rights Reserved
© NCCAPM All Rights Reserved
Name:
City:
Address:
State:
Zip:
E-Mail:
Phone:
First Name ONLY of Person in Photograph:
Age of Person in Photograph:
Official Cleft/Craniofacial
Awareness Bracelets!
