Video, Audio, Photography Consent & Release Form

By signing the form below, I, being of legal age, hereby consent to being video and/or audio recorded and/or photographed by APTA Maryland (APTAMD) chapter. I also consent to the sharing of any video and/or audio and/or photography that I submit to the chapter. I understand that this consent is perpetual, that it may not be revoked, and that it is binding on my heirs and assigns. 

I hereby grant APTAMD the perpetual, absolute and irrevocable right and permission to use my name and to use, reproduce, edit, exhibit, project, display, copyright, publish and/or resell photographic pictures and/or moving pictures and/or videotaped images of me with or without my voice, or in which I may be included in whole or in part, and to circulate the same in all forms and media (including, but not limited to:  on YouTube and on APTAMD’s website, any publications, any advertising/promotion, videotapes, audio tapes, compact discs, computer files and photographs) for educational, trade, all forms of advertising/promotion or any lawful purpose.  I waive all claims to compensation and damages.

I agree that APTAMD is the sole owner of all rights in the negatives, photographs, videotape recordings, prints, and all other items bearing my photograph, name, image, voice, likeness or performance, including full domestic and foreign copyrights therein, and shall have the exclusive right to make use of these materials as it wishes, including, but not limited to, the right of performance, display, reproduction and distribution in all media, including advertising/promotion, and the right to create, perform, display, and reproduce derivative works thereof. 

I hereby waive any right that I may have to inspect and/or approve the finished product or products or the editorial, advertising or printed copy or soundtrack that may be used in connection therewith and any right that I may have to control the use to which said product, products, copy and/or soundtrack may be applied.  

I hereby release, discharge and agree to save harmless APTAMD, its affiliates, components, employees, sponsors, agents and assigns of the foregoing, from any liability or claimed liability in connection with the aforementioned use of the video or audio tape, my photograph, name, voice, image, likeness or performance.