By submitting a story and/or photograph, I grant permission to Milwaukee County Department of Health and Human Services and its agents or employees to use photographs and/or text submissions submitted by me, and I know I have all necessary rights and permissions to do so for the materials I have submitted. These images may be used in educational and documentary materials such as Public Service Announcements, Grant Applications, Video Documentaries and both printed and online newsletters and the like. Furthermore, I authorize the use of my image, likeness, and words for all program promotion, materials, and any other purposes in connection with the program deemed appropriate and necessary by the Milwaukee County Department of Health and Human Services.
I hereby agree to release, defend, and hold harmless Milwaukee County Department of Health and Human Services and its agents or employees, including any firm publishing the finished product in whole or in part, whether on paper, via electronic media, or web sites, from any claim, damages, or liability arising from or related to the use of the photographs/words, including but not limited to any misuse, distortion, blurring, alteration, optical illusion, or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction, or production of the finished product, its publication, or distribution.
I am 18 years of age or older and have read this release before checking the box below indicating my understanding and agreement, fully understanding the contents, meaning, and impact of this release. i understand that checking the below box and submitting this survey and data will be interpreted as a free and knowledgeable acceptance of the terms of this release.
