• Easterseals Photography and Biography Release

  • I HEREBY GIVE Easterseals of the Birmingham Area the absolute and irrevocable right ad permission, with respect to the photographs, story of me or intellectual property developed while in the Easterseals of the Birmingham Area's program:

    To use, re-use, publish, and re-publish the same in whole or in part, individually or in conjunction with other photographs, in any medium (included but not limited to newsletters, nominations, community awareness, social media and as of yet unheard of media) and for any purposes whatsoever including (but not by the way of limitation) illustration, promotion, and advertising and trade, for a period of five years.
    I hereby release and discharge Easterseals of the Birmingham Area, from any and all claims and demands arising out of or in connection with the use of photographs, story or intellectual property developed while in Easterseals of the Birmingham Area's Program including any claims from libel.

    I have read and explained the foregoing and fully understand the contents thereof. 

  • If the consumer is under 18 years of age, a parent or guardian must sign this form.

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