Standard Photography Release Form

I hereby authorize and permit The Leukemia & Lymphoma Society of Canada or its authorized agent, without compensation therefore, permission to photograph, publish, reproduce, record and use, with or without my name or the name of the person for whom I am the parent/guardian. This includes but is not limited to photographs, quotes and/or text, motion pictures, videotapes, website information or audiotapes of and/or by me or the person for whom I am the parent/guardian. I release The Leukemia & Lymphoma Society of Canada from any and all legal liability that may arise from the release of information requested. I agree that all text, photographs, motion pictures, negatives, prints and transparencies, videotapes and audio tapes made of and or by me or the person for whom I am the parent/guardian by or for The Leukemia & Lymphoma Society of Canada, shall be the exclusive property of The Leukemia & Lymphoma Society of Canada which in its sole discretion may use this material as it sees fit.