Photograph, Video and Voice Recording Consent and Release Form Photo Release Form First Name(Required) Last Name(Required) Business e-mail(Required) Employee Number (if applicable) Are you 18 years of age or older? Yes No Do you confirm there was approval from a Parent or Guardian?(Required) Yes Parent or Guardian Name(Required) I give my consent to Bruce Power L.P., its personnel, agents and representatives (“Bruce Power”) to take photos, videos and/or audio recordings (digital or otherwise) of me on the Date of Recording and at the Location set out above. I grant to Bruce Power, and its successors and assigns, the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of these images and recordings in any form of media (either internal or external to Bruce Power) now known or later developed, including but not limited to print, broadcast, electronic, digital and social media, for promoting, publicizing or explaining Bruce Power or its activities and for administrative, educational or research purposes. I acknowledge that Bruce Power owns all rights to these recordings and that I am to receive no compensation for this appearance, of any kind, now or in the future. I hereby release, discharge and hold Bruce Power, and its successors and assigns, harmless from any actions, damages or consideration that may be claimed by, through or under me with respect to the recordings.Date of Recording(Required) Month Day Year Location(Required) Producer Project/Production (if applicable) Production Company (if applicable) PhoneThis field is for validation purposes and should be left unchanged.
