Media Release Form - Na Hoaloha

P.O. Box 3208 - Wailuku, HI 96793

Phone: (808) 249-2545 FAX: (808) 249-2547

MEDIA RELEASE FORM

By signing below I, _____________________________________(print volunteer name)

authorize Na Hoaloha, Neighbors Helping Neighbors, the use of any photos, video, or

testimony.

I understand that any photo, video, or testimony may be informational, instructional, or

used during fundraising or for any other commercial purposes. I have not been

compensated; nor will I seek compensation for said media. I release the organization

from responsibility should a third party violate the terms of this release.

Signature of Volunteer

Date

Staff

Date

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Parent category: Legal