Interview, Photograph, Video, and/or Sound Recording Release

I hereby voluntarily and without compensation authorize and consent that CASA Child Advocates of Montgomery County, Inc., its legal representatives, successors, or assigns, shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, videotapes, other media material, and/or sound recordings, interviews or any part thereof, they have taken or made of me on this date or in which I may be included in whole or in part, whether apart from or in connection with illustrative or written printed matter, story or news item, motion pictures, or for any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproduction thereof in color or otherwise.

I hereby waive all claims for any compensation for such use or for damages. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I hereby warrant that I am of lawful age and have the legal capacity to contract in my own name in the above regard. I state further I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof.