Riverside County Photo And Video Release Form printable pdf download

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)

Relationship

Riverside County Photo And Video Release Form