In consideration of my work with the (name of firm), (“Organization”) and as part of the services being furnished by me to said Organization, I hereby give my assent to the photographing of myself and to the recording of my voice. The Organization is hereby authorized to use or cause to be used said still pictures or motion picture footage, recordings of my voice and my name for advertising, publicity, commercial or other business purposes. Said photographs and/or recordings may be used singularly or in conjunction with other photographs and/or recordings.
The Organization has my authorization to reproduce, or cause to be reproduced and used such photographs and voice recordings. The same may be demonstrated in all domestic and overseas markets. I understand that others may use and/or reproduce said photographs and/or recordings with or without the Organization’s consent.
I hereby release the Organization, any of its associated or affiliated companies, their directors, officers, agents, staff, clients and the Organization’s appointed advertising agencies, officers, directors, agents and staff, from all claims of any kind on account of such use.
Witness: 1) ______________________ 2) ___________________