Media Release Form

MEDIA RELEASE FORM

I, the undersigned, hereby grant Houston Public Library and its affiliates the irrevocable and unrestricted right to use and publish photographs, videos, audio recordings, and/or any other form of media capturing my likeness, voice, and/or performance, taken during [Event/Activity Name] on [Event/Activity Date], for the purpose of promoting Houston Public Library and its activities.

I understand and agree that:

Houston Public Library may use the aforementioned media in various forms of promotional materials, including but not limited to, websites, social media platforms, print materials, presentations, and news releases.

Houston Public Library may use the media in perpetuity without compensation to me.

I release Houston Public Library and its representatives from any and all claims, demands, or liabilities arising out of or in connection with the use of the media.

Houston Public Library reserves the right to edit, alter, or modify the media at its discretion.

This release shall be binding upon my heirs, legal representatives, and assigns.

I have read and understood the terms of this release and voluntarily agree to its content.

HPL Location / Event

Adult First Name*

Adult Last Name*

Please check the box to indicate your agreement.*

Please check the box to indicate your agreement and click "Submit" to complete this digital media release form.

MINOR CHILD AGREEMENT

By checking this box, I acknowledge that I have read and understood the terms of this release and voluntarily agree to its content on behalf of indicated minor child.

Minor First Name*

Minor Last Name*

Send me a copy of my responses

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