Note: You can list "student" if you are a current college student.
Please choose your top three hobbies. Ex: Hiking, fishing, and reading books.
Ex: You biked across America.
I hereby consent, authorize, and assign all rights to the National Association of the Deaf (NAD) organization, its agents, officers, employees, and all others to whom release or circulation may be made including news and media organization to use, reproduce, distribute, exhibit, or broadcast photos, videos, film, and audio recordings of myself and/or projects, for use in publicity releases and program marketing.
I further consent and authorize the National Association of the Deaf (NAD) to release or circulate the same in any manner for any and all purposes in any form with or without my name. I understand the photos, videos, and/or film may be viewed by the general public and that other uses may be made of them. I further agree and consent that the NAD and the others authorized herein are not responsible for any misappropriation of the photos, videos, and/or film by any member of the general public or anyone else.
I have read the foregoing release, authorization, and agreement before signing below and I declare that I fully understand the contents of this document.
While this section is optional, we highly encourage you to let us know as this will help us write our image and video description accurately.
Your image description: how would you like us to identify you (i.e. white woman wearing eye-glasses and brown hair)