Publicity Release Form : Volunteer Forms : Habitat for Humanity of Benton County

PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!

This Publicity Release, executed on this day of [fill in date below], year of 20[fill in year below], by [fill in name below] (volunteer OR spokesperson for volunteer group) in favor of Habitat for Humanity International (Habitat) and this affiliate (Habitat for Humanity of Benton County, Inc.).

The volunteer or spokesperson for volunteer group does hereby grant permission to Habitat to publish information relating to their participation with Habitat for Humanity programs and events. In addition, the volunteer or spokesperson for volunteer group does hereby grant and convey all right, title and interest in any and all photographic images, video or audio recordings made by Habitat or those representing Habitat, including but not limited to, any royalties, proceeds or other benefits derived from such publications, photographs or recordings.

Date

Month

Day

Year

Name of Volunteer or Spokesperson

First Name *

Last Name *

VOLUNTEER/SPOKESPERSON: Acknowledgement of Digital Signature

I acknowledge that by typing my name above, I am submitting my digital signature, which consents to the information contained in this document.

I am executing the Publicity Release on behalf of myself and the following volunteers from our group:

List all group members here. If you are an individual volunteer, please type "individual." (Required)

IN WITHNESS WHEREOF, the volunteer or spokesperson for the volunteer group has executed this Publicity Release as of the day and year first above written. This Publicity Release will be in effect during the time the volunteering has occurred with Habitat for Humanity of Benton County, Inc.

Witness Digital Signature

First Name *

Last Name *

WITNESS: Acknowledgment of Digital Signature.

I acknowledge that by typing my name above, I am submitting my digital signature as a witness.

Volunteer/Spokesperson Digital Signature

First Name *

Last Name *

VOLUNTEER/SPOKESPERSON: Acknowledgement of Digital Signature

I acknowledge that by typing my name above, I am submitting my digital signature, which consents to the information contained in this document.

Volunteer/Spokesperson Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

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Email Address (Required)

PUBLICITY RELEASE

PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!

IN WITHNESS WHEREOF, the volunteer or spokesperson for the volunteer group has executed this Publicity Release as of the day and year first above written. This Publicity Release will be in effect during the time the volunteering has occurred with Habitat for Humanity of Benton County, Inc.