Photograph And Video Release Form - Adra Canada printable pdf download

Photograph And Video Release Form - Adra Canada

Photo and Video Release Form

I hereby grant ADRA Canada permission to use my recorded image, likeness and voice without payment or

any other consideration. I understand that my image may be edited, copied, exhibited, published or

distributed and waive the 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 my image

or recording. I also understand that this material may be used in diverse settings within an unrestricted

geographic area.

By signing this release I understand this permission signifies that photographic or video recordings of me

may be electronically displayed via the Internet or in a public setting.

There is no time limit on the validity of this release nor is there any geographic limitation on where these

materials may be distributed.

This release applies to photographic, audio or video recordings collected as part of an ADRA Connections

trip.

By signing this form I acknowledge that I have completely read and fully understand the above release and

agree to be bound thereby. I hereby release any and all claims against ADRA Canada and its employees

utilizing this material.

Full Name (Printed) ____________________________________________________________________

Street Address/P.O. Box_________________________________________________________________

City ________________________________________ Prov __________________ Postal Code ________

Phone _____________________ Email ____________________________________________________

Signature_____________________________________________ Date____________________________

If this release is obtained from a person under the age of 18, then the signature of the parent or legal

guardian is also required.

Parent’s Signature______________________________________ Date____________________________

Photograph And Video Release Form - Adra Canada