Photo ReleasePhoto Release I, * I, First Name First Name Last Name Last Nameof * of Street 1 Street 1 Street 2 Street 2 City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postalhereby authorize and consent that Tulsa Area United Way, a not-for-profit corporation, its legal representatives, successors or assigns, and partner agencies shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, television spots, movie films, videotapes and/or sound recordings, or any part thereof, they have taken or made of me or in which I may be included, name or other biographical data, in whole or in part, whether apart from or in connection with, illustrative or written printed matter, story or news item, motion pictures, internet usage, television or radio spots, or for publicity, advertising or any other lawful purpose whatsoever, in conjunction with my own or a fictitious name, or my real or fictitious biographical data, or in reproduction thereof in color or otherwise in any media now known or hereby created. I understand there is no time limit to this agreement. I hereby waive all claims for any compensation for such use or for damages other than as set forth herein. I hereby waive any right that I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I acknowledge that there is no obligation to use any material authorized by me hereunder. I hereby warrant that I am of full age and have every right to contract in my own name in the above regard. I state further that I have read the above authorization and release, prior to execution, and that I am fully familiar with the contents thereof.Name of minor (under 18) if parent or guardian is providing consent Name of minor (under 18) if parent or guardian is providing consent First First Last Last Email Phone Please upload a photo of yourself for reference purposes. The photo should be of the person authorizing consent and should not include any other individuals. * Choose FileMaximum file size: 268.44MB Date * Signature * signature keyboard Clear Parent / Guardian Signature (If Subject is a minor) signature keyboard Clear Submit If you are human, leave this field blank. Δ