Media Consent Form Image/Video Information(To be completed by Discover Boone County Staff)Image/Video Description(Required)Event/Location(Required)Personal Information(To be completed by individual giving consent}First Name(Required)Last Name(Required)Email(Required) Phone(Required)I, the undersigned, hereby consent to the use of my likeness taken via photo or video in any publication, social media materials, web use, pamphlet, or promotional materials by Discover Boone County or other agencies which are promoting or furthering the mission of Discover Boone County. I understand that I will not receive separate compensation or consideration from Discover Boone County or anyone else for the permission granted in this Consent nor for the actual publication or use of my photograph or likeness. By signing this Consent, I understand I am releasing Discover Boone County from any and all liability that may occur as a direct or indirect result of my photograph, the release of my identity, or the public relations materials, including but not limited to the use of any quotations.I agree to the above terms that my image, likeness, or statement may be used by Discover Boone County(Required) Yes Signature of Subject, Parent or Guardian:(Required)Please indicate relationship if signing as Parent, Guardian or Other. Parent Guardin Other Other – please explain.(Required)
