Photography / Filming Release Form
This PDF document may not meet current accessibility standards (WCAG 2.1 AA) and may not be fully usable with assistive technologies.
If you require access to the information in a more accessible format, please e-mail webstaff@johnstonnc.gov and we will provide an alternative version as soon as possible. A machine-generated text version is also available below.
We apologize for any inconvenience and appreciate your understanding as we work toward full accessibility compliance.
If the document does not display above, download the PDF.
Text version (machine-generated from the PDF)
10 I _________________________________________________________ , agree to be photographed and or filmed on or about ______________________________ date , and I hereby assign and grant Johnston Regional Airport and its assigns and their affiliates all rights , title and interest to and permission to copyright , use , publish and republish photographs films of me taken on or about such date , and negatives and reproductions thereof , in any form , whether in whole , part or composite form , electronic , digital or conventional , blurred , altered or distorted , in color or black and white , video or otherwise for advertising , newsletters , marketing brochures , training materials and marketing materials , internal and external distribution or any other lawful purpose in any lawful manner anywhere in the world and or on the worldwide web I hereby waive any right to inspect or approve any final product of my photographs films I acknowledge that you will rely on this permission , potentially at substantial cost to you , and I hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permission granted hereunder ? I have been advised that I am not required to be in the photographs films , and I have voluntarily appeared for the photographs films ? I hereby warrant that I am at least 18 years of age and have full right and capacity to contract in my own name with respect to the above I have read and understand the above Print Name ___________________________________________________________________________________ Signature ____________________________________________________________________________________ Date ________________________________________________________________________________________ If model is under 18 I , ___________________________________________________________________ , am the parent guardian of the individual named above I have read this release and approve of its terms Print Name ___________________________________________________________________________________ Signature ____________________________________________________________________________________ Date ________________________________________________________________________________________Page