Media Release Form – Ho'omau Fire Academy

I, ___________________________ grant permission to Ho‘omau Fire Academy (HFA) hereinafter known as the “Media” to use my image (photographs and/or video) for use in Media publications including:

Including: *

Please specify any exclusions:

other

Specify any exclusions below:

I hereby waive any right to inspect or approve the finished photographs or digital matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.

Please select the paragraph below which is applicable to your present situation: *

I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.
I am the parent or legal guardian of the below named child. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

My signature indicates that I understand and agree to the terms of the Media Release Form.

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Cadet (Signature) *

Signature of parent or legal guardian *

Signature of parent or legal guardian, if under 18 years of age

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