Bloomingdale Boosters offer Baseball | Golf Putting Teams  & Events
Bloomingdale Boosters offer Baseball | Golf Putting Teams  & Events
Menu

Photo and Video Release

I hereby grant permission 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. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.

Photographic, audio or video recordings may be used for the following purposes:

By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting.

I will be consulted about the use of the photographs or video recording for any purpose other than those listed above.

There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.

This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document only.

By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for media purposes.

Player First Name:
Player Last Name:
Street Address/P.O. Box:
City:
State:
Zip Code:
Phone:
If this release is obtained from a presenter under the age of 18, then the signature of that presenter’s parent or legal guardian is also required.
Parent Signature:
Date:
 By registering for any Bloomingdale Booster Inc. sponsored events, you agree to allow any publication of any photos or video taken at any program, event or facility where the Bloomingdale Boosters Inc. promote an event.
To avoid the automated spammers, please enter the characters you see into the box (case sensitive)
 · 

Click here for a printable PDF release form


Bloomingdale Boosters Inc. are recognized by the Internal Revenue Service as a 501(c)(3) non-profit organization.

Bloomingdale Boosters Inc.
P.O. Box 117 • Bloomingdale, NY 12913 • Email: contact@bloomingdaleboosters.com
© Bloomingdale Boosters Inc. • Design by Rainbow Graphics
You are the visitor. Thank you for stopping by.