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Waiver
Who is this registration for?
Please provide a name and email address for a parent or guardian, they will need to sign off for you.
Parent/guardian first name:
Parent/guardian email:
Authorization to Use Photograph, Video, Audio, and Story
This Photo/Audio/Informational Assignment and Release Form (“Release”) is executed by and between myself (“Volunteer/Resident/Client”) and Volunteers of America Michigan or any of its entities (“VOAMI.”) I hereby grant to VOAMI, its agents, representatives, and employees the irrevocable,
perpetual, non-exclusive, royalty free and unrestricted right to take photographs of me and my property and audio/video recordings
and story (Collectively, the “Works.”) I grant and convey to VOAMI all right, title, and interest in any and all photographic images,
audio/video recordings and story made by VOAMI without payment or other consideration. This right includes, but is not limited to,
any royalties, proceeds or other benefits arising from or related to any use of the Works.
I agree that VOAMI may use such Works with or without the disclosure of my name. I further agree that VOAMI may
disclose information about me related to the Works with or without my name and for any lawful purpose. Any lawful purpose shall
include, but not be limited to, program promotion, publicity, illustration, advertising and website content. I hereby authorize VOAMI,
its agents, representative and employees to edit, alter, copy, exhibit, publish or distribute the Works in any manner whatsoever. I
hereby waive any right that I may have to inspect and approve any Works or finished products of such Works incorporating my name
or likeness that may be used in connection therewith, or the use to which it may be applied.
I hereby release and forever discharge VOAMI, its agents, representatives and assigns, from any and all claims which arise out
of or are in any way connected to the Works.
This Release extends to, but is not limited to any and all activities, programs and services that I may engage in for VOAMI
and any of its entities now or in the future.
I further agree that in the event that any clause or provision of this document shall be held invalid by any court, the invalidity
of such clause or provision shall not otherwise affect the remaining provisions of this document which shall continue in full force and
effect.
I hereby acknowledge that I have read this Release and fully understand the contents thereof.
Authorization to Use Photograph, Video, Audio, and Story
This Photo/Audio/Informational Assignment and Release Form (“Release”) is executed by and between myself (“Volunteer/Resident/Client”) and Volunteers of America Michigan or any of its entities (“VOAMI.”) I hereby grant to VOAMI, its agents, representatives, and employees the irrevocable,
perpetual, non-exclusive, royalty free and unrestricted right to take photographs of me and my property and audio/video recordings
and story (Collectively, the “Works.”) I grant and convey to VOAMI all right, title, and interest in any and all photographic images,
audio/video recordings and story made by VOAMI without payment or other consideration. This right includes, but is not limited to,
any royalties, proceeds or other benefits arising from or related to any use of the Works.
I agree that VOAMI may use such Works with or without the disclosure of my name. I further agree that VOAMI may
disclose information about me related to the Works with or without my name and for any lawful purpose. Any lawful purpose shall
include, but not be limited to, program promotion, publicity, illustration, advertising and website content. I hereby authorize VOAMI,
its agents, representative and employees to edit, alter, copy, exhibit, publish or distribute the Works in any manner whatsoever. I
hereby waive any right that I may have to inspect and approve any Works or finished products of such Works incorporating my name
or likeness that may be used in connection therewith, or the use to which it may be applied.
I hereby release and forever discharge VOAMI, its agents, representatives and assigns, from any and all claims which arise out
of or are in any way connected to the Works.
This Release extends to, but is not limited to any and all activities, programs and services that I may engage in for VOAMI
and any of its entities now or in the future.
I further agree that in the event that any clause or provision of this document shall be held invalid by any court, the invalidity
of such clause or provision shall not otherwise affect the remaining provisions of this document which shall continue in full force and
effect.
I hereby acknowledge that I have read this Release and fully understand the contents thereof.
Check here to show you accept the terms stated above for yourself or for a minor volunteer for which you are a parental guardian.
Authorization to Use Photograph, Video, Audio, and Story
****AGREEING TO THIS WAIVER IS NOT A REQUIREMENT TO VOLUNTEER, BUT PLEASE NOTE THAT IT WILL BE YOUR RESPONSIBILITY TO NOTIFY ANYONE AT YOUR VOLUNTEER LOCATION TAKING PICTURES AND/OR RECORDING CONTENT THAT YOU DO NOT WISH FOR YOUR LIKENESS OR VOICE TO BE CAPTURED.****
This Photo/Audio/Informational Assignment and Release Form (“Release”) is executed by and between myself (“Volunteer/Resident/Client”) and Volunteers of America Michigan or any of its entities (“VOAMI.”) I hereby grant to VOAMI, its agents, representatives, and employees the irrevocable,
perpetual, non-exclusive, royalty free and unrestricted right to take photographs of me and my property and audio/video recordings
and story (Collectively, the “Works.”) I grant and convey to VOAMI all right, title, and interest in any and all photographic images,
audio/video recordings and story made by VOAMI without payment or other consideration. This right includes, but is not limited to,
any royalties, proceeds or other benefits arising from or related to any use of the Works.
I agree that VOAMI may use such Works with or without the disclosure of my name. I further agree that VOAMI may
disclose information about me related to the Works with or without my name and for any lawful purpose. Any lawful purpose shall
include, but not be limited to, program promotion, publicity, illustration, advertising and website content. I hereby authorize VOAMI,
its agents, representative and employees to edit, alter, copy, exhibit, publish or distribute the Works in any manner whatsoever. I
hereby waive any right that I may have to inspect and approve any Works or finished products of such Works incorporating my name
or likeness that may be used in connection therewith, or the use to which it may be applied.
I hereby release and forever discharge VOAMI, its agents, representatives and assigns, from any and all claims which arise out
of or are in any way connected to the Works.
This Release extends to, but is not limited to any and all activities, programs and services that I may engage in for VOAMI
and any of its entities now or in the future.
I further agree that in the event that any clause or provision of this document shall be held invalid by any court, the invalidity
of such clause or provision shall not otherwise affect the remaining provisions of this document which shall continue in full force and
effect.
I hereby acknowledge that I have read this Release and fully understand the contents thereof.
