2023 ZBHA Photo Release Form
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ZBHA Photo Release Form
We ask all attendees of Zero Balancing Health Association (ZBHA) sponsored classes and events to give written consent to the ZBHA, the Zero Balancing Touch Foundation (ZBTF), as well as Faculty and class participants to use images in promotional materials. In addition, participants may not upload images taken at the event to social media without unanimous consent of those in attendance. Such permission also grants Zero Balancing organizations and ZBHA faculty members the right to use all such digital images without payment or further consent from individual students.
Permission to Use Photographs
1.
Faculty Name (Last Name, First Name):
*
2.
Event/Class (Example: ZB I):
*
3.
Event/Class Dates (Example: June 1 - 4, 2020):
*
4.
Location (City, State):
*
I grant to Zero Balancing Health Association (ZBHA), the Zero Balancing Touch Foundation (ZBTF), as well as Faculty and class participants in connection with the above-identified event, the right to take photographs of me.
I authorize the ZBHA, the ZBTF, its assignees and transferees the right to copyright, use and publish the same in print and/or electronically.
I agree that ZBHA and the ZBTF may use such photographs of me with or without my name and for any lawful purpose, including, for example, publicity, illustration, advertising, and website content.
I understand that a preview of photos prior to use is not possible. Photo(s) use is at the express discretion of the ZBHA and/or ZBTF.
5.
I have read and understand the above and understand if I select 'yes' that I am agreeing to the release as stated:
*
Yes No
-- Please Select --
Yes
No
6.
Date:
*
7.
By typing your name below, you're certifying an electronic signature (including parent or guardian (if under age 18):
*
8.
Email:
*
9.
Phone:
*
