Riverside County Photo And Video Release Form

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RIVERSIDE COUNTY PHOTO
AND VIDEO RELEASE FORM
By signing this form, I hereby grant the County of Riverside permission to make
video recordings, audio recordings, take still photographs of me, and/or use statements
I make for purposes of marketing, recruitment or any other purpose deemed suitable to
the County of Riverside.
I acknowledge that I have absolutely no ownership of, or right related to, any
edited program, marketing project, advertisement, etc., or to any constituent elements
(photos, video footage, soundtracks, audio voice recordings etc.) which include my
statements, name or image. I acknowledge that the county is the sole owner of any
aforementioned edited program, marketing project, advertisement, etc. and/or their
constituent elements. I hereby license the County of Riverside, for any purpose, to
exhibit, display or distribute photos, videos, audio recordings or related print copy via
any medium, including but not limited to television broadcast, cablecast, closed circuit
showing, Internet, print and distribution on videocassette or DVD.
I hereby waive any right to inspect and/or approve the finished product of this
printed/photographic/video/audio project or soundtrack and any right to control the use
to which those products, photographs, video images, audio recordings, printed copy
and/or soundtrack may be applied.
I license the County of Riverside to use said recordings, statements, photos and
videos of me in any way the county deems suitable. I also acknowledge that I will not
receive payment in any form – monetary or otherwise – now or in the future in return for
my participation and for granting these permissions.
________________________________
___________
Youth Member Name (Signed)
Date
_______________________________
Youth Member Name (Printed)
If youth member is a minor (under age 18), parental consent is required.
"As the parent/legal guardian, I guarantee the compliance of this agreement by my
child."
________________________________
_______________
Parent/Legal Guardian Name (Signature)
Date
_________________________________
____________________________
Parent/Legal Guardian Name (Printed)
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