RPTC/SDCF Photo Shoot Model Form 2020

RPTC/SDCF Photo Shoot Model Form 2020

SDCF 2020 STREET BANNER PHOTO SHOOT DATE & LOCATION Date: 02/24/2020 Time: 4:30 - 5:45 PM Location: Rancho Penasquitos Branch Library, Community Room 13330 Salmon River Road San Diego, CA 92129

Date: xx/xx/xxxx *

Enter date

Model Name *

First and last name

Parent's Name *

Email Address *

Phone Number *

Signature *

By filling in this field you are agreeing to participate in the Model Photo Shoot for the SDCF 2020 Street Banner Program.

Photographic Use Permission Authorization I grant permission to the Rancho Peñasquitso Town Council and the SDCF and its agents, to use photographs taken of myself and/or my child's image on the date and at the location listed below for use in promotion in such items as street ads, print ads, television and exhibit display & signage, website advertising and publications electronic or otherwise, without notifying me. Images will not be used on items to be commercially sold. I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph. I hereby agree to release, defend, and hold harmless the Rancho de los Peñasquitos Town Council and SDCF and its agents, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper, via electronic media, or on websites, from and against any claims, damages or liability arising from or related to the use of the photographs, including but not limited to any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution. Photo Shoot Date: February 24, 2020 Location: PQ Branch Library, Community Rm. 13330 Salmon River Rd, San Diego, CA 92129

Parent's Signature (if under 18 years of age) *

Parents Signature, By filling in this field you are signing permission to allow you and your child to participate in the Model Photo Shoot for the SDCF 2020 Banner Program.

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Website/URL

Email

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