Hospitality Program Application Form Page 3

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HOSPITALITY
JOB TRAINING PROGRAM
TALENT RELEASE AND CONSENT FORM
I ____________________________________, being of legal age to consent hereby grant to Goodwill of
Central and Coastal Virginia the right and permission to use any photograph, video, voice recording or
any other likeness Goodwill has of me for any purpose and in any and all media now or in the future. I
hereby grant to Goodwill the right and permission to use my name in connection with the photograph,
video, recording or other likeness if it so chooses.
I hereby grant permission to Goodwill to put the finished pictures, negatives, reproductions and copies
of the original prints, negatives or recordings of me and any recordings which may be made from my
voice, including the right to substitute the voice of other persons for my voice, or likeness (collectively
“Tangible and Intangible Items”), in any legal usage.
I hereby grant to Goodwill permission to use said Tangible and Intangible Items in any manner deemed
proper by Goodwill so long as such is in connection with the exhibition, advertising, promotion
distribution and/or any other purpose for the service or trade of Goodwill products, services or
programs. I will not disaffirm or disavow this consent and permission on the ground that I was unable
to enter a binding contract on the date of execution hereof or any similar grounds whatsoever, or
endeavor to recover from Goodwill any sums for being depicted in any video, photograph, recording or
other likeness.
PARTICIPANT
Signature
Date
Printed Name
GOODWILL OF CENTRAL AND COASTAL VIRGINIA
Signature
Date
Printed Name
Title

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