Photographic and Personal Statement Release
I authorize Royal Neighbors of America to use my photograph and record my voice and likeness, whether by film, videotape, magnetic tape, digitally, or otherwise, for educational, informational, promotional, and/or advertising purposes, commercial or otherwise, through any type of media, including but not limited to television, newspapers, magazines, website, social media, or other vehicles as deemed appropriate.
I further understand that Royal Neighbors of America owns and/or is entitled to use the media in which my photograph, voice, or likeness is stored, and there will be no restrictions on the number of times it is used.
Signature:___________________________________________________________________________________ Date:___________________________________
As witnessed by:
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Printed name
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Signature