Justification of Our Request for you to sign and return a Media Release Form.

Because of this time and age, we, the Chrisman Class of 67 Reunion Committee, need your consent to have your picture on the web site below or other places. It is the Committee's goal to post at least one image of every 40th Reunion attendee. So, if you attended either Friday or Saturday night's events, the Committee needs everyone who is in a pictue to provide us with a signed release form. If we do not receive your signed release form which we will keep on file, your picture will either not be on the web site or a blurry spot over your face will be in its place. We are trying to respest and protect the privacy of all of our class members.

Robie Mathews, Chair

Media Release for the Chrisman Class of 67

I am an adult 18 years of age or older and I freely execute this Model Release.

In consideration of posting my photograph in the William Chrisman High School Class of 1967 Images Gallery on www.WilliamChrismanHighSchool.com, and other valuable consideration, receipt of which is acknowledged, I,

_____________________________________________________
(print Member's name)
do hereby give

Chrisman Class of 67, the Photographer, his or her assigns, licensees, successors in interest, legal representatives, and heirs the irrevocable right to use my name (or any fictional name), picture, portrait, or photograph in all forms and in all media and in all manners, without any restriction as to changes or alterations (including but not limited to composite or distorted representations or derivative works made in any medium) for advertising, trade, promotion, exhibition, or any other lawful purposes, and I waive any right to inspect or approve the photograph(s) or finished version(s) incorporating the photograph(s), including written copy that may be created and appear in connection therewith. I hereby release and agree to hold harmless the Photographer, his or her assigns, licensees, successors in interest, legal representatives and heirs from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of the photographs, or in any processing tending toward the completion of the finished product, unless it can be shown that they and the publication thereof were maliciously caused, produced, and published solely for the purpose of subjecting me to conspicuous ridicule, scandal, reproach, scorn, and indignity. I agree that the Photographer owns the copyright in these photographs and I hereby waive any claims I may have based on any usage of the photographs or works derived therefrom, including but not limited to claims for either invasion of privacy or libel. I am of full age* and competent to sign this release. I agree that this release shall be binding on me, my legal representatives, heirs, and assigns. I have read this release and am fully familiar with its contents.

Member or Person Photographed

Signature: __________________________________

Printed Full Name: __________________________________

Address: _____________________________________

City, State, Zip: _____________________________________

Date: ____________________, 20 _____

Please print this page, sign it and then send your completed release form to Robie Mathews.