Video/Photography Release Form

I hereby grant The SURVICE Engineering Company, LLC (“Company”) the irrevocable right and permission to use my likeness in any photograph, video, or other digital media taken, in all their publications, including print or web-based publications, without compensation to me. I agree that all such portraits, pictures, photographs, video and audio recordings, and any reproductions thereof, and all plates, negatives, recording tape and digital files, are and shall remain the sole property of Company.

I understand and agree that such photographs and/or video recordings of me may be placed on the Internet. I also understand and agree that I may be identified by name and/or title in printed, Internet or broadcast information that might accompany the photographs and/or video recordings of me. I understand and agree that I will not have an opportunity to review the final products before they are published or distributed.

I hereby release, acquit and forever discharge Company, and its current and former trustees, agents, officers, employees, and affiliates, from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of said photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness, or defamation.

I acknowledge that my participation is completely voluntary, as is my consent to this release. I understand that no action will be taken against me should I decline to participate in the photo/video portions of these events. This release is binding on me and my heirs, assigns and personal representatives.