PJTC Likeness Permission

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our PJTC community

By signing this release, I consent and authorize the Pasadena Jewish Temple and Center (PJTC), its officers and employees, to publish, re-publish, adapt, exhibit, reproduce, edit, modify, make derivative works, distribute, display, or otherwise use my image, voice and/or likeness in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of the PJTC, in connection with any PJTC product or service in all relevant markets, media or technology now known or hereafter developed, as long as there is no intent to use the image, voice and/or likeness in a disparaging manner. Such media and technology include, but are not limited to:

PJTC Social Media Platforms: including, but not limited to Facebook, Instagram, Twitter, YouTube, Pinterest
Email distribution
PJTC Website
PJTC Fundraising
Centennial Programming and Events
Centennial History
Marketing to outside publications
Event displays

This consent and authorization is given in perpetuity, until such time as I revoke such consent and authorization in writing; at which time, there will be no new future use of my image, voice, and/or likeness.

* First Name

* Last Name

* Email

* Do you give permission for PJTC to use your likeness as described above?

YesNo

* Do you give permission for PJTC to use the likeness of your child/children for publicity?

YesNoI do not have minor children.

Name of Child(ren)

By Clicking the Check box below, you are agreeing to use an electronic signature, which means:
1. You agree to use an electronic document and an electronic signature. You understand that electronic signatures are legally binding in the United States and other countries.
2. You agree to read the document and fill it out accurately and completely.

* I agree to use an electronic signature.

I agree to use an electronic signature.

* Signature

Type your name in the box above for your signature.