Cascade AIDS Project Media Release Agreement Please complete the form below. Agreement I hereby grant Cascade AIDS Project and it's subsidiaries permission to use my likeness and/or story in photographs, videos, or other digital media in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all media will become the property of the Cascade AIDS Project and will not be returned. I hereby irrevocably authorize the Cascade AIDS Project to edit, alter, copy, exhibit, publish, or distribute these media pieces for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness or story appears. Lastly, I waive any right to royalties or other compensation arising or related to the use of the media. I hereby hold harmless, release, and forever discharge the Cascade AIDS Project from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I HAVE READ AND UNDERSTAND THE ABOVE MEDIA RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW. I ACCEPT: Your Name * First Name Last Name Your Email * Today's Date * MM DD YYYY Minor Addendum (Optional) I am also completing this agreement on behalf of the minors listed below: Minor's Name(s) Please use commas to separate multiple names. Thank you!
