Terms & Conditions

I hereby consent and authorize an employee or agent of LEFTOVERS FOR LOCALS to take photographs or motion pictures of me; or to produce videotapes, audiotapes, closed circuit television programs, web casts, or other types of media productions that capture my name, voice, and/or image (any of the foregoing types of media are called the “Materials” in this Consent and Release form).

 

I authorize LEFTOVERS FOR LOCALS to copyright the Materials, and I authorize LEFTOVERS FOR LOCALS to use, reuse, copy, publish, display, exhibit, reproduce, license to third party, and distribute the Materials in any educational or promotional materials or other forms of media, which may include, but are not limited to catalogs, articles, magazines, recruiting brochures, websites or publications, electronic or otherwise, without notifying me.

 

I also agree that LEFTOVERS FOR LOCALS may identify me by name. (If the person does not wish to be identified by name, etc., please have them cross through this sentence, and initial year.)  _______

 

I agree that I am participating on a voluntary basis and I will not receive any payment from LEFTOVERS FOR LOCALS for signing this release or as a result of any publication of the Materials.

 

I represent that I am at least 18 years of age, or if not, that I have secured the signature of my parent or legal guardian.