Waiver - Photography & Video sessions
In consideration of my engagement as a participant or client, upon the terms herewith stated, I hereby give to
ANGELINA MARZANO, his/her heirs, legal representatives and assigns, those for whom the
therapist is acting, and those acting with his/her authority and permission for permission for the photos
and videography:
a) the unrestricted right and permission to copyright and use, re-use, publish, and republish photographic
portraits, pictures and video of me or in which I may be included intact or in part, composite or
distorted in character or form, without restriction as to changes or transformations in conjunction with
my own or a fictitious name, or reproduction hereof in color or otherwise, made through any and all
media now or hereafter known for illustration, art, promotion, advertising, trade, or any other purpose
whatsoever.
b) I also permit the use of any printed material or online media in connection therewith.
c) I hereby relinquish any right that I may have to examine or approve the completed product or
products or the advertising copy or printed matter that may be used in conjunction therewith or the use
to which it may be applied.
d) I hereby release, discharge and agree to save harmless, her heirs, legal representatives or assigns, and
all persons functioning under her permission or authority, or those for whom she is functioning, 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 said picture or in any
subsequent processing thereof, as well as any publication thereof, including without limitation any
claims for libel or invasion of privacy.
e) I hereby affirm that I am over the age of majority and have the right to contract in my own name. I
have read the above authorization, release and agreement, prior to its execution; I fully understand the
contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and
assigns in all parts of this country and worldwide.