Please enable JavaScript in your browser to complete this form.UAM Media Release – Photography and or Video Consent to E-Sign *I consent to electronic filing and signing of this form.I hereby grant Unity Arts Ministry, hereinafter referred to as “UAM,” the absolute and irrevocable right and permission, in respect of the photographs and/or video taken of me and my artwork alone or with others, to use, re-use, publish, and re-publish the same in whole or in part, individually or in conjunction with other photographs or video, and in conjunction with any printed matter, or electronic matter, in any and all media now or hereafter known, and for any purpose whatsoever; and to use my name in conjunction therewith if UAM so chooses. I hereby release and discharge UAM from any and all claims and demands arising out of or in connection with the use of the photographs or video, including without limitation any and all claims for libel or invasion of privacy. This authorization and release shall also inure to the benefit of the heirs, legal representatives, licensees, volunteers and assigns of UAM. I am of full age (18) and have the right to contract in my own name. If I am not yet 18 years of age, a parent or guardian has authorized my signature. I have read the foregoing and fully understand the contents thereof. The release shall be binding upon me and my heirs, legal representatives, and assigns.Confirmation of Age *I am of full age (18)I am not yet 18 years of ageName *FirstLastDate *Phone *Email *E-Signature (Type full name below) *Parent / Guardian Name (if under 18)FirstLastDateParent / Guardian PhoneParent / Guardian EmailParent / Guardian E-Signature (Type full name below)Submit