Media Release Form

I, the undersigned, (hereinafter referred to as "Releasor"), grant permission to hmTv at The Holocaust Memorial and Tolerance Center of Nassau County (hereinafter referred to as "Releasee"), to use my media (photograph image and/or video footage and/or audio recordings), and understand that it will be used for video use, podcast, newsletters, and any other form of print or digital media.

I likewise understand that I may be identifiable from the reproduction of the media by the Releasee indicated herein this agreement.

I hereby waive my rights to inspect or approve the media for production that may be used by the Releasee for purposes stated herein, from hereon forward.

I likewise waive any right to royalties or any compensation arising from or related to the use of the image.