Media Release

Oregon Spinal Cord Injury Connection (OSCI) an Oregon nonprofit public benefit corporation tax exempt under Section 501c3 of the Internal Revenue Code, may photograph, videotape or record my voice and use my picture, photograph, silhouette and other reproductions of my physical likeness and sound while I engage in activities sponsored by OSCI. 

I have read this Release and agree to the following:

Initial Here 1. OSCI may reproduce, copyright, broadcast, exhibit, and distribute any or all photographs, audiotape or videotape recordings made of me, whether in whole or in part, and whether in their original form or transferred into another medium, for the nonprofit educational or charitable activities of OSCI. 

Initial Here 2. I do not have the right to pre-approve my photographs, audiotape, or videotape recordings prior to distribution.

Initial Here 3. I understand that I will not receive compensation, payment, royalty, or other compensation for the use of my photographs, audiotape, or videotape recordings.

Initial Here 4. I understand that OSCI is under no obligation to make any use of my photographs, audiotape, or videotape recordings.

 

I agree that I will not bring any claims against OSCI, including claims for invasion of privacy, rights of publicity or other similar claims, because OSCI made public images or sounds of me. I release OSCI from all legal claims, known or unknown, which I have or may ever have, arising out of OSCI’s use of my photographs, audiotape, or videotape recordings.

I am of full legal age and have read this release and am fully familiar with its contents. By my signature below, I also give my full and unqualified consent to the terms of this Release on behalf of my minor child.

[FIRST NAME] [LAST NAME]

05/02/2025

Who will be participating?

Adult  Adult and Children  Children

Signee Information

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By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.