• Imprint Photo Release Waiver

    Please complete and sign this form to allow NSNA and/or Imprint magazine permission to use your media.
  • I hereby give NATIONAL STUDENT NURSES’ ASSOCIATION, INC. (“NSNA”), and its successors and/or assigns, the absolute and irrevocable right and permission to publish this photograph.
     
    (a)        To copyright same in its own name or any other name that it may choose;
     
    (b)        To use, reuse, publish and republish the same in whole or in part, individually or in conjunction with other photographs or images, in any medium, and for any purpose whatsoever, including but not limited to illustration, promotion, advertising and trade, and publication in all NSNA publications and media of any kind or description, including but not limited to Imprint magazine and NSNA’s website; and
     
    (c)        To use my name in conjunction therewith if it so chooses.
     
    I hereby release and discharge the NSNA, the photographer, his or its heirs, executors, assigns and any designees (including any agency, client, broadcaster, periodical or other publication) from  any and all claims and demands arising out of or in connection with the use of such photographs, film or tape, including but not limited to any claims for defamation or invasion of privacy.
     
    I am of legal age and have read the foregoing and fully understand the contents thereof.  
     

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