Release & Consent Form

Center for Family Life and Recovery, Inc. to edit, alter, copy, exhibit, distribute and publish in print, video, audio-recorded productions, and on the World Wide Web this material for purposes of publicizing CFLR, Inc., programs, or other lawful purposes without payment or any other consideration.

By signing this document, I understand that:

  • The materials will be used only for nonprofit/educational purposes.
  • The above-named individual/organization will not release the materials to any other nonprofit or commercial entity without seeking my permission.
  • Any proceeds from the sale of published or printed matter containing the materials will be used to support the mission of the above named nonprofit organization. (if applicable)
  • The materials will become the property of CFLR, Inc., stored in a place chosen by CFLR, Inc., and will not be returned to me.

In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. I waive any right to royalties or other compensation arising or related to the use of the
materials. I hereby hold harmless and release and forever discharge the CFLR, Inc., from all claims, demands, liability 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.

Signature is required.

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