Junior League of Birmingham
2212 20th Ave. South
Birmingham, AL 35223
I hereby give the Junior League of Birmingham and its representatives, employees, agents and assigns the absolute and irrevocable right and permission to use, reproduce, copyright and /or publish my likeness in photographic portraits or pictures of me, or in which I may be included in whole or in part, in conjunction with my own name and/or city of residence, made through any media or format, for art, advertising, trade or any other lawful purpose whatsoever at any time, without payment or other consideration. I acknowledge that all such images and prints shall be the property of the Junior League of Birmingham.
I hereby waive any right that I may have to inspect and/or approve the finished product or the advertising copy or other printed material that may be used in connection therewith, or the use in which it may be applied.
I hereby release, discharge and agree to hold harmless the Junior League of Birmingham from any and all claims, actions and liability relating to the use of such photographs.
I have read and understand the contents of this release and confirm that I am aged 18 years or more and that I have signed this release intending to be legally bound by its terms
City of Residence:
Parent or Guardian Signature: