Social Media Release Form - ASMP New York

Photo / Video Social Media Release - ASMP New York

Thank you for allowing ASMP New York to feature your image on our social media channels. By typing your name below you agree that we may use the uploaded images for promotional and editorial use only on social media channels and websites owned or controlled by ASMP or its chapters. At all times you will retain all intellectual property rights including copyright. This limited, non-exclusive license will last in perpetuity, but may be canceled at any time by notifying ASMP, and we will promptly remove the image. Credit for the image may be given within the image itself or in the description directly below the image. By typing your name below you agree that your consent is given to ASMP without expecting any payment, and you release ASMP, its officers, employees, and agents from any liability that may arise from the use of the materials. For any questions, you may contact legal@asmp.org at any time. Thank you.

Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Website
Phone
File*
Drop files here or
Max. file size: 10 MB, Max. files: 10.
Consent*
- I confirm and permit ASMP to use works provided on its social media and editorial platforms for promotional and editorial use hereafter. I hereby release and agree to hold harmless ASMP from any liability stemming from use of my work, and I hereby waive any claims I may have based on its usage of the work, including but not limited to claims for either copyright infringement or violations of publicity rights. I understand that I reserve all rights in my work not expressly granted in this Agreement, including the copyright in the work. I acknowledge that I am of full age and competent to sign this release. I agree that this Waiver and Release will be binding on me, my legal representatives, heirs, and assigns. I have read the above and am familiar with its contents.
Diversity and Inclusion
- If you identify as a member of an underrepresented or diverse community, please check this box. ASMP is committed to including diverse voices in our outreach. If you would like to describe the underrepresented or diverse community you identify with, it will assist us in reaching that goal. Please fill in the optional text field below with any details you wish to provide.
Diversity and Inclusion Part 2
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Photo / Video Social Media Release - ASMP New York

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