I grant permission to Southern Hills & City Station to use my image (photographs and/or video) for use in Media publications including videos, email blasts, recruiting brochures, newsletters, magazines, general publications, and website and/or affiliates.

I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.

Please select the paragraph below which is applicable to your present situation: *
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