Media Release for Minors

Authorization and Consent

Video and Photography

I hereby authorize Center for Health Progress to record and photograph me. I agree that Center for Health Progress may use or edit, and permit others to use or edit, the recordings and photographs or any portion thereof, for purposes of dissemination to members of the public for educational, research, community relations/marketing, web site, news media, advocacy, charitable, and any other purposes the organization deems appropriate. Dissemination or use of the photographs and recordings may be done in any manner or through any print, electronic or other medium, to include but not limited to print, film, digital, audio, and on-line. 

I release Center for Health Progress and its authorized representatives, officers, directors, employees and contractors (collectively “Representatives”) from all liability and all claims of any nature pertaining to the photographs or recordings or the release of associated information about me or related to such photographs or recordings.

I hereby waive on behalf of myself and my successors any right to compensation for all current or future uses related to the recording, photograph, or use of the content thereof. I further transfer and assign to Center for Health Progress all rights to use the recordings and photographs. I, and my successors, hereby release Center for Health Progress and its Representatives and their respective successors from all liability and all claims of any nature pertaining to the recordings or photographs or the release or other use of the contents and all related information.