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HRN Media Release Form

We, Human Response Network, often take photographs and video recordings at our events for promotional, educational, and informational purposes. These images and videos may be used in print and digital media, including social media, newsletters, newspapers, our website, and other outlets that support our mission. Please review the release statement below and sign if you consent to the use of your image and/or name for these purposes. 

HRN MEDIA RELEASE AGREEMENT

I hereby grant Human Response Network and its representatives, the irrevocable right and permission to use photographs and/or video recordings of me, and/or my likeness, taken at this event 

for use in media publications including, but not limited to social media sites, newsletters, newspapers, website content, or promotional materials. 

 

I understand that these images and/or recordings may be edited, copied, exhibited, published, or distributed, and I waive the right to inspect or approve the finished product wherein my likeness appears. I understand that I may be identifiable from such photographic or electronic reproduction and that these images and/or recordings may be used without financial compensation. 

 

I hereby release Human Response Network and its representatives from all claims, demands, and liabilities whatsoever in connection with the above.  By signing below, I acknowledge that I have read and understand the above release 

Single choice
an individual
a representative of a family and have full authority to grant release for this family, including any minors under the age of 18. I certify that I am the parent or guardian of the individuals listed below and hereby agree to assume legal responsibility for his/her authorization(s) referred to in this General Media Release.
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