CMIT Application Signature- Information and Photo/Video Release of Model
In consideration of my engagement as a model, I hereby grant to The General Council of the Assemblies of God and its representatives and employees, the irrevocable right to take photographs and videos of me, and to make recordings of my voice, and to use these images and recordings, as well as my name and biographical information, as follows:
I further acknowledge that I will not be compensated for these uses, and that the Assemblies of God exclusively owns all rights to the images and recordings. I waive the right to inspect or approve uses of the images and recordings. I hereby release the Assemblies of God, its representatives and employees, from any claims that may arise from these uses, including claims of defamation, invasion of privacy, or rights of publicity or copyright. This release is binding on me, my heirs, assigns, and estate.
I am 18 years of age or older and have read the above authorization and release prior to its execution. If under 18 years of age, the legal guardian indicated below has signed on my behalf.
Printed Elements: I Printed Elementsauthorizedo not authorize my information to be available on printed elements.
Web Elements: I Web Elementsauthorizedo not authorize my information to be available on the U.S. Missions website. Please exclude the following information (e.g., phone number):
Media: I Mediaauthorizedo not authorize my information to be available on audio and video components.
I release to Chi Alpha Campus Ministries, U.S.A. the right to utilize my photo or a video of myself during the internship program. I understand Chi Alpha will utilize only tasteful and appropriate images that help communicate the vision, values, and mission of Chi Alpha Campus Ministries, U.S.A.
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Document Name: CMIT Application Signature- Information and Photo/Video Release of Model
Agree & Sign