2018 USTA PNW National Team Publicity Release Form

PUBLICITY RELEASE: I agree to be filmed and photographed by The United States Tennis Association (“USTA”) in connection with such participation and that the USTA will own any and all rights in such film and photography of me (hereinafter referred to as “Footage”). This will permit the USTA to proceed with taking such Footage and I now waive, as to the USTA and its successors, assigns and licensees, all personal right and objections to any use to be made of me, my name, likeness, voice or personality in connection with the use of the Footage in any media for any and all purposes, including trade, advertising and promotional purposes, in perpetuity and without further compensation. I understand that in proceeding with filming and photography of the Footage, the USTA will do so in full reliance on the foregoing permission.

Question Title

* 1. By entering information below and clicking "Submit" I understand that this constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

First Name

Last Name

Childs First Name

Childs Last Name

Childs USTA Number

Email Address