I hereby grant to Patelco Credit Union and its directors, officers, employees, agents, legal representatives and assigns (the “Credit Union”), the irrevocable and unrestricted right and permission to use, reproduce and publish my name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photographs, video recordings, audiotapes, digital images and the like, taken or made on behalf of the Credit Union.  I agree that all such materials, including all negatives, digital images, and prints shall become and remain the sole property of the Credit Union, and the Credit Union may use them for any purpose consistent with the Credit Union’s mission or any other legal purpose in perpetuity.  These uses include, but are not limited to, illustrations, newsletters, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet.  I waive any right to inspect or approve any finished product or copy or other matter that may be used in connection therewith, or the use to which it may be applied.  I acknowledge that I will not receive any compensation for the use of such pictures, photographs, video recordings, audiotapes, digital images and the like.  I further understand and agree that the foregoing described materials may be kept on file and used by the Credit Union for potential future purposes. 

I hereby hold harmless, release and forever discharge the Credit Union from any and all claims, actions and liability relating to its use of said pictures, photographs, video recordings, audiotapes, digital images and the like, as well as any publication or dissemination thereof, including without limitation any claims for libel or invasion of privacy.

This Photograph and Publicity Release Form constitutes the sole, complete and exclusive agreement between the Credit Union and me regarding my image in media as described above, and I am not relying on any other representation whether oral or written.

I hereby warrant that I am of full legal age and have the right to contract in my own name.  This release shall be binding upon me and my heirs, legal representatives, and assigns.

I have read and understood this Photograph and Publicity Release Form.