I grant permission to Vermont Foodbank and its agents and employees the unrestricted right to publish my story and reproduce the photographs and/or video images taken of me or members of my family, for the purpose of publication, promotion, illustration, advertising, or fundraising, in any manner or in any medium. I hereby release Vermont Foodbank and its legal representatives for all claims and liability relating to said images or video. Furthermore, I grant permission to use my statements that were given during an interview, with or without my name, for the purpose of advertising and publicity without restriction. I waive my right to any compensation.

I understand that I may revoke my consent at any time by notifying appropriate Vermont Foodbank staff in writing, in person, or by telephone.

I represent and warrant that: (1) I am of legal age and I have every right to contract in my own name, or my parent or legal guardian has signed below; (2) I have the right to grant the rights provided in this Release without violating other commitments; and (3) the appropriate releases and/or authorizations have been obtained from any and every person shown or depicted in any photographs I provided to Vermont Foodbank.

I state further that I have read or have had read to me this release prior to its execution, and that I am fully familiar with the contents hereof, and sign it voluntarily and of my own free act and deed.