Jason Cohen | Lafayette Travel Model Release
Please fill out the form below. By filling out this form your are consenting to and authorizing Lafayette Travel, aka Lafayette Convention & Visitor’s Commission, and all entities, representatives, employees, partners and clients the ability to record, use, edit, reproduce, and/or publish photographs, video, audio, and/or other electronic images that may portray and/or relate to me, my image, likeness and/or voice, without compensation. I understand that these materials may be used in both physical and electronic media, including (but not limited to), designated websites and publications, social media accounts, marketing material and other forms of media approved by Lafayette Travel. I understand that my likeness may be used and/or published, including my name, photograph, voice, face, video recording (live or pre-recorded) for these purposes and/or any other purposes Lafayette Travel deems acceptable without further notification. By signing and agreeing to the above, I acknowledge this authorization goes into effect immediately and indefinitely until rescinded in writing. I hereby hold harmless and release Lafayette Travel and all entities, representatives, employees and agents operating under its authority from any and all claims, demands and causes of action which I, my heirs, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of actions to which this authorization applies.