I hereby grant the National Park Service permission to use my likeness in a photograph in any and all
publications for Government or nongovernment purposes, including website entries, without payment or
any other consideration in perpetuity. I understand and agree that these materials will become the
property of the National Park Service and will not be returned.
I hereby irrevocably authorize the National Park Service to edit, alter, copy, exhibit, publish, or
distribute this photo for purposes of publicizing the National Park Service's programs or for any other
lawful purpose. In addition, I waive the right to inspect or approve the finished product, including
written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or
other compensation arising or related to the use of the photograph.
I hereby hold harmless and release and forever discharge the National Park Service from all claims,
demands, and causes of action which I, my heirs, representatives, executors, administrators, or any
other persons acting on my behalf or on behalf of my estate have or may have by reason of this
authorization.
I am 18 years of age or older and am competent to contract in my own name. I have read this release
before signing below and I fully understand the contents, meaning, and impact of this release. I agree
to indemnify and hold the Government harmless for any and all losses, claims, expenses, suits, costs,
demands, and damages or liabilities on account of personal injury, death, or property damages of any
nature whatsoever and by whomsoever made, arising out of the photographed activities in which I am
taking part.
