Customer Service Jobs Training Program Application Form Page 4

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CUSTOMER SERVICE
JOBS TRAINING PROGRAM
TALENT RELEASE FORM AND CONSENT
I ____________________________________, being of legal age to consent hereby grant to Goodwill of
Central and Coastal Virginia the right and permission to use any photograph, video, voice recording or any
other likeness Goodwill has of me for any purpose and in any and all media now or in the future. I hereby
grant to Goodwill the right and permission to use my name in connection with the photograph, video,
recording or other likeness if it so chooses.
I hereby grant permission to Goodwill to put the finished pictures, negatives, reproductions and copies of
the original prints, negatives or recordings of me and any recordings which may be made from my voice,
including the right to substitute the voice of other persons for my voice, or likeness (collectively “Tangible
and Intangible Items”), in any legal usage.
I hereby grant to Goodwill permission to use said Tangible and Intangible Items in any manner deemed
proper by Goodwill so long as such is in connection with the exhibition, advertising, promotion distribution
and/or any other purpose for the service or trade of Goodwill products, services or programs. I will not
disaffirm or disavow this consent and permission on the ground that I was unable to enter a binding
contract on the date of execution hereof or any similar grounds whatsoever, or endeavor to recover from
Goodwill any sums for being depicted in any video, photograph, recording or other likeness.
PARTICIPANT
Signature
Date
Printed Name
GOODWILL OF CENTRAL AND COASTAL VIRGINIA
Signature
Date
Printed Name and Title

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