Rocky River Public Library

Photo, Video and Audio Consent Release Form

I hereby irrevocably give permission to Rocky River Public Library (RRPL), or anyone authorized by RRPL to use, publish, copyright or reproduce the photograph(s), videotape, audio, and/or interview of me and/or my child for publicity or promotional/advertising purposes for RRPL via the newsletter, website, newspapers, magazines, advertising, the world-wide-web, public displays, or any other published, electronic, or advertising medium that may be used to publicize the Library, its program and services without notifying me.


I grant the Library the right to use my name and/or my child’s name, image and likeness, voice and other information concerning me/or my child in connection with the promotion of RRPL, its programs and services.


I hereby waive any right to inspect or approve the finished photographs or printed matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown.


I hereby agree to release, defend, and hold harmless the Rocky River Public Library Board of Directors, on behalf of the Rocky River Public Library and its agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, from and against any claims, damages or liability arising from or related to the use of the photographs, including but not limited to any misuse, distortion, blurring, alteration, optical illusion, or in the taking, processing, reduction or production of the finished product, its publication or distribution.


I am 18 years of age, and I 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 understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

Please complete the form below.