Media Release Form


    I
     
    ,  hereby release the image, likeness and voice of
    as recorded for the use in a promotional / educational video for Power Partners USA – Power Tie Giveaway. I agree that the footage may be edited and used in whole or in part in all media including but not limited to audio and video on the internet, ratio and cable broadcast and all other purposes in perpetuity throughout the world. We will not use your child’s name or biographical information in connection with the distribution and promotion of the video content.

    I expressly release Power Partners USA – Alan Armijo, from any defamation and other claims I may have arising out of the above described material and hereby waive all rights to impact and approve the finished product or its use.

    I acknowledge the release is form and final and submit this form to signify my agreement.