Photo/Talent Release Form

Please fill out the below release form to grant the National Pork Board the right to use videotaped and/or photographed material of yourself.

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
I give the National Pork Board the right to use and reuse all portions of the videotaped and/or photographed material of myself. I hereby waive any right to inspect or approve the finished videotape and/or photographs that may be used in conjunction therewith or to the eventual use that it might be applied. I hereby release, discharge and agree to hold harmless the National Pork Board, its representatives, assigns, employees, or any person or persons, corporation or corporations, for who it might be acting, including any firm publishing and/or distributing the finished product, in whole or in part, from and against any liability as a result of any blurring, distortion or alteration, or use in composite form, either intentionally or otherwise, that may occur or be produced in videotaping, photographing, editing or reproduction of the finished product, its publication or distribution of the same. I have read the foregoing release, authorization and agreement, before affixing my signature below, and warrant that I fully understand the contents thereof.
Electronic Signature*

Please type your full name as you entered it above
*
- I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above photo/talent release
Date*
MM slash DD slash YYYY