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Media Release – English
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Media Release – English
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Please fill in your name above to signify your agreement with the following statement: I give the TEXAS CENTER FOR LOCAL FOOD the absolute right and permission to use a photograph(s), video(s), audio recording(s), and/or written transcript(s) of me in publicity or educational materials by the Texas Center for Local Food or its authorized partners, effective immediately. I understand that the photograph(s), video(s) or recording(s) may be used in a publication, print ad, direct-mail piece, electronic media (e.g. website, online video, public service announcement), or other form of public or private communication. This use may occur without geographic limitation and does not expire. I release the TEXAS CENTER FOR LOCAL FOOD, the photographer / videographer, their offices, employees, agents, and designees from liability for any violation of any personal or proprietary right I may have in connection with such use. I understand that I will not receive compensation of any kind for this use. I understand that my name will not be used unless I give such permission in the box below.
Email
*
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Using Your Name or Child's Name: I hereby grant permission to use my name (or my child's name if under 18). (Note we will only use the first names of persons under age 18).
Yes
No
For persons under age 18: If the person represented by the Media Release is under age 18, I hereby certify that I am their parent or guardian and give my consent to the above on behalf of this person.
Yes
no
Enter the first names of persons under age 18 whom you are representing in this media release.
Name of Photographer or Media Creator (if applicable)
First
Last
Email for Photographer or Media Creator (if applicable)
Phone for Photographer or Media Creator (if applicable)
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Description of image or media in File Upload 1
Describe the setting, date, and what’s happening in the image or media. Add photographer name if each file is from a different photographer.
File Upload 2
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Describe the setting, date, and what’s happening in the image or media. Add photographer name if each file is from a different photographer.
File Upload 3
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