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Photo/Video Release Form

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  2. Thurston Regional Planning Council
    PHOTO / VIDEO WAIVER AND RELEASE

  3. I hereby grant permission to Thurston Regional Planning Council (TRPC), the rights to my image, in video or still, and of the likeness and sound of my voice as recorded on audio or video tape 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.  

    Photographic, audio or video recordings may be used for ANY USE which may include but is not limited to:

    • Publications and print materials
    • Presentations
    • Online/Internet materials and videos
    • Media
    • News (Press)

    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 the 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 and/or video recordings collected as part of the sessions indicated below:

  4. RELEASE OF LIABILITY

    Your electronic signature below indicates your agreement with the following statements: 

    By typing my name in the following box and clicking submit button, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. In granting this permission to TRPC, I am fully and without limitation releasing TRPC from any liability that may arise from the use of the image(s) / video(s) referenced above.

  5. USE OF NAME*

    I further agree to allow TRPC to use my name:

  6. Leave This Blank:

  7. This field is not part of the form submission.