power our women

photo/media release waiver.

This waiver allows P.O.W permission to use photographs, video footage and or make electronic sound recordings.

Please read the disclaimer below.


Today's Date *
Today's Date
Name *
Name
Phone Number (or care giver's contact number if under 18) *
Phone Number (or care giver's contact number if under 18)
-----DISCLAIMER----- *
I GRANT POWER OUR WOMEN SELF DEFENCE AND ITS REPRESENTATIVES THE RIGHT TO TAKE PHOTOGRAPHS, VIDEO FOOTAGE, AND OR ANY MEDIA OF ME AND MY PROPERTY IN CONNECTION WITH POW PROGRAMS AND EVENTS. I AUTHORIZE POWER OUR WOMEN SELF DEFENCE, ITS ASSIGNS AND TRANSFERS TO COPYRIGHT, USE AND PUBLISH THE SAME PRINT AND OR ELECTRONICALLY. I AGREE THAT I POWER OUR WOMEN SELF DEFENCE MAY USE SUCH PHOTOGRAPHS, VIDEO FOOTAGE AND OR ANY MEDIA OF ME WITH OR WITHOUT MY NAME AND FOR ANY LAWFUL PURPOSE INCLUDING, FOR EXAMPLE, SUCH PURPOSES AS PUBLICITY, ILLUSTRATION, ADVERTISING, AND WEB CONTENT. BY HITTING THE SUBMIT BUTTON YOU ARE ACKNOWLEDGING THAT YOU HAVE READ AND UNDERSTAND ALL OF THE INFORMATION IN THIS DOCUMENT, AND THAT YOU AGREE TO SHARE YOUR LIKENESS WITH POWER OUR WOMEN SELF DEFENCE FOR THE PURPOSES INDICATED IN THE DISCLAIMER.