Simple Release Form For Photos And Videos

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PHOTO/VIDEO RELEASE FORM
I hereby give permission for images of my child, captured during ___________________ (Event)
through video, photo and digital camera, to be used solely for the purposes of Global Genes | RARE
Project promotional material and publications, and waive any rights of compensation or ownership
thereto.
Name of Minor (please print): _____________________________ Age: ___________________
Name of Parent/Guardian (please print): ____________________________________________
Address of Parent/Guardian (please print): ___________________________________________
______________________________________________________________________________
Parent/Guardian’s Signature: ______________________________________________________
Date: __________________
Email Address: ________________________________________
Global Genes | RARE Project uses photographs, videos, profiles and stories for promotional, advertising, commercial,
educational, research, and/or archival usage. As such, Global Genes | RARE Project collects, on an on-going basis,
individual and group photos, videos, and testimonials relating to our volunteers, supporters, and activities.
Global Genes | RARE Project and its affiliates have irrevocable right and unrestricted permission to use and publish
photographs or video images of me or the minor in my care, or in which we may be included, for any purpose authorized
by Global Genes | RARE Project and its affiliates, including but not limited to: website use, editorial publications, print
collateral, or advertising and promotional use. This grant includes the right to modify and retouch the images in the
discretion of the Global Genes | RARE Project Foundation. The circulation of such materials could be worldwide and that
there will be no compensation for this use. Furthermore, I understand that I will not be given the opportunity to inspect or
approve the finished products or the accompanying copy or the printed matter that may be used in connection therewith.
In granting this permission to the Global Genes | RARE Project Foundation, I am fully and without limitation releasing it
from any liability that may arise from the use of the images.

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