NWNI Photo/Vid Release Form

1 Start 2 Guardian Consent 3 Who Took It? 4 Professional 5 . 6 Submission 7 Submission. 8 Complete
I hereby give permission to Nationwide Nurse-In to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration in all forms and media for the Nationwide Nurse-In calendar, advertising, exposition displays, trade, and any other lawful purposes. The proceeds from sales of such content will go to advertisement and production expenses of the annual Nationwide Nurse-In and the purchasing of prizes for contests put on by Nationwide Nurse-In. I further give permission for Nationwide Nurse-In to edit my photograph(s) and or video(s) to add the Nationwide Nurse-In logo and/or watermark. I also verify that I own the rights to the photograph(s) and or video(s) that I am submitting.
(First and Last)