Granting Permission to Use Photos and Videos

UNC Collaboration for Maternal & Infant Health Projects

“Supporting women becoming mothers”

PHOTOGRAPHY, RECORDING & INFORMATION RELEASE AUTHORIZATION FORM

I authorize UNC Collaboration for Maternal and Infant Health (UNC CMIH) and The 4^th Trimester Project team members to repost/reshare, take and/or release recordings, and any related information for public relations and/or marketing purposes. By agreeing to the information below, I give permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of The 4^th Trimester Project and UNC CMIH activities. I agree that The 4^th Trimester Project and UNC CMIH projects and programs will be allowed to claim partnership for the attributed pictures, etc., and may use them for any purpose consistent with The 4^th Trimester Project’s mission.  These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet.  I acknowledge that I will not receive any compensation, etc., for the use of such pictures, etc., and hereby release The 4^th Trimester Project, UNC CMIH, and partners from any and all claims which arise out of or are in any way connected with such use.

CONTENT / INFLUENCER COLLABORATION INFORMATION RELEASE AUTHORIZATION FORM

I authorize UNC Collaboration for Maternal and Infant Health (UNC CMIH) and The 4^th Trimester Project team members to repost/reshare, take and/or release content created by myself, my partners, and/or The 4th Trimester Project team. I understand my blog posts, photos, and content will link/redirect to my own online properties, including my website and/or social media channels. By agreeing to the information below, I give permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any content created by myself, my partners, and/or The 4th Trimester Project team. I agree that The 4th Trimester Project team may use the agreed-upon content for public relations and/or marketing purposes. I agree that The 4^th Trimester Project and UNC CMIH will be allowed to claim my content ‘a contribution from a collaborator’ on the attributed content, and may use them for any purpose consistent with The 4^th Trimester Project’s mission.  These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet.  I acknowledge that I will not receive any compensation, etc., for the use of such content, and hereby release The 4^th Trimester Project, UNC CMIH, and partners from any and all claims which arise out of or are in any way connected with such use.

 I have read, understand, and agree to the information in this Authorization form. Email confirmation here.

 For questions or concerns, please email Suzanne Woodward (SuzanneW@med.unc.edu), Communications Director, UNC Collaboration for Maternal and Infant Health.