updated 04/01/2020
National Forensic League
dba National Speech & Debate Association
Image and Media Release
School Affiliation City State
IMAGE AND MEDIA RELEASE
In connection with my participation in events sponsored or run by the National Forensic League, I hereby expressly
grant to the National Forensic League d/b/a National Speech & Debate Association and its affiliates and designees
(collectively the “Association”) the irrevocable, perpetual, worldwide right and permission to make or record
video (or other digital media) images and recordings, audio and/or visual recordings or photographic images or
likenesses of me in connection with my participation in any Association events and activities in which I participate,
either in person or online/virtually, (the “Recordings”) and to use such Recordings as well as any materials I create,
submit, or use in connection with or related to the Association or its events or activities (“Materials”) or any of
portion of the Recordings and Materials, with or without alteration, alone or in conjunction with other images or
elements of any type, in any manner (whether now known or later invented), by any means (whether now known
or later invented), and in any and all media (whether now known or later invented), without restriction including,
but not limited to, in any and all of the Association’s publications (including online/web based publications),
promotions and advertising.
I acknowledge that the Association has no financial commitment or obligation to me as a result of this Image and
Media Release (the “Release”) or the use of the rights granted in this Release. Additionally, I waive any right to
royalties or other compensation arising out of or related to the use of Recordings or Materials.
I understand and agree that the Association and/or its authorized representatives shall have the exclusive right,
title, and interest, including copyright, in and to the Recordings or Materials.
I hereby irrevocably release, forever discharge, and hold harmless the Association and its authorized
representatives from any and all causes of action, claims, demands, damages, costs or expenses, including
attorney’s fees, which relate to or arise out of any creation, development or use of these Recordings and
Materials.
I have read and understand the Release and I agree to and accept its provisions. I affirm that I am at least 18
years of age, or, if I am under 18 years of age, I have obtained the required consent of my parents/legal
guardians as evidenced by their signatures below. I Accept:
Student Name (PRINT) Signature of Student Date (mm/dd/yy)
If under 18, parent or legal guardian must sign.
I am the parent/legal guardian of the person signing the Release and I hereby ratify it and release all claims
whatsoever which either I or above student may have with respect to the matters covered by the Release.
Parent/Guardian Name (PRINT) Signature of Parent/Guardian Date (mm/dd/yy)
Return completed form to National Speech & Debate Association, 401 Railroad Place, West Des Moines, IA 50265
or email to info@speechanddebate.org.
This is a fill-in form. Please click on the appropriate area to enter information. Tab between fields and PRINT when completed.
If using Adobe Acrobat Reader you CANNOT email the form—no data will be included.
