Photo Release Form


I,  , herby grant and authorize Tri County Ninja LLC ("TCN") the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me, my spouse or my children to be used in and/or for legally promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, other print and digital communications, without payment or any consideration. This authorization extends to all languages, media, formats and markets now known or hereafter devised. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing. 

I understand and agree that these materials shall become the property of TCN and will not be returned.

I hereby hold harmless, and release TCN, any of its officers, directors, shareholders, employees, agents, representatives, successors and assigns from all liability, petitions, and causes of action which I, my heirs, representative, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate.

If participating client is under the age of 18, a parent or guardian must sign this release.



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Signature Certificate
Document name: Photo Release Form
lock iconUnique Document ID: 55afc6272f3335f670f2aab37ac6f730e0567b00
Timestamp Audit
October 16, 2018 1:43 pm EDTPhoto Release Form Uploaded by Ed McNulty - IP