Release and Consent Form

By digitally signing below, I irrevocably give permission to Sheriff Carmine Marceno, the Lee County Sheriff’s Office, and Sheriff Carmine Marceno’s Ice Cream Response Team, including all of their officers, agents, employees, successors, licensees, and assigns (including any entity Sheriff Marceno, the Lee County Sheriff’s Office, or the Sheriff’s Ice Cream Response Team so designates) to take and use photographs, video or sound recordings of myself and/or my minor child for the following project/event:

My consent to the use of the photographs, video and sound recordings and my child’s and/ or my image, likeness, appearance, and voice is for forever. I will not receive compensation for the use of my and/ or my child’s image, likeness, appearance, and voice now or in the future. Sheriff Carmine Marceno, the Lee County Sheriff’s Office, the Sheriff’s Ice Cream Response Team may use the photographs, video and sound recordings containing my child’s and/or my image, likeness, appearance and voice in any manner or media, including but not limited to use on web pages and social media page. The photographs, video and sound recordings may be used in whole or in part, alone or with other recordings. The photographs, video and sound recordings may be used for any purpose including but not limited to educational, institutional, and informational purposes. Sheriff Carmine Marceno, the Lee County Sheriff’s Office, and the Sheriff’s Ice Cream Response Team have the right and may allow others outside the Lee County Sheriff’s Office to copy, edit, alter, retouch, revise and otherwise change the photographs, video and sound recordings at Sheriff Carmine Marceno, the Lee County Sheriff’s Office’s, and/or the Sheriff’s Ice Cream Response Team’s discretion. All rights, title, and interest whatsoever in the photographs, video and sound recordings belong solely to Sheriff Carmine Marceno, the Lee County Sheriff’s Office, and the Sheriff’s Ice Cream Response Team.

I further give permission to Sheriff Carmine Marceno, the Lee County Sheriff’s Office, and the Sheriff’s Ice Cream Response Team to use my child’s and/or my name, biography, and any other personal data, events, or other material in or in connection with any such uses of the photographs, video and sound recordings.

By digitally signing this form I also understand and agree to the conditions outlined in this photograph, video and sound recording release and consent form. As the parent or legal guardian of the child named below and on behalf of myself and/ or my child, I irrevocably give consent to Sheriff Carmine Marceno, the Lee County Sheriff’s Office, and the Sheriff’s Ice Cream Response Team and their respective officers, agents, employees, successors, licensees, and assigns (including any entity Sheriff Marceno, the Lee County Sheriff’s Office, or the Sheriff’s Ice Cream Response Team so designates) forever to make use of my child’s and my image, likeness, appearance, and voice in photographs, video and sound recordings as described above.

I acknowledge that I am fully aware of the contents of this release and am under no disability, duress, or undue influence at the time of my signing of this instrument.

I waive any right or claim for compensation of any kind or type whatsoever from Sheriff Carmine Marceno, the Lee County Sheriff’s Office, and the Sheriff’s Ice Cream Response Team for the use, maintenance, release, display, distribution, and publication and promulgated of my child’s and my image(s)/photograph(s)/likenesses(s)/depiction(s).

I waive and release Sheriff Marceno, the Lee County Sheriff’s Office, and the Sheriff’s Ice Cream Response Team from any and all claims, demands, damages and/or liability resulting from, or related to the use, release, display, publication, distribution, publication/promulgation of any image(s)/photograph(s)/likenesses(s)depiction(s), including, without limitation, any such claims and/ or demands made by individuals or entities other me.

I INTENTIONALLY, KNOWINGLY AND INTELLIGENTLY INTEND TO WAIVE AND RELEASE, AND HEREBY SO WAIVE AND RELEASE ANY AND ALL RIGHTS, CLAIMS, DEMANDS AND CAUSE(S) OF ACTION OF ANY KIND OR TYPE WHATSOEVER, WHICH I AND/OR MY CHILD MIGHT OTHERWISE HAVE, OR MIGHT HAVE AGAINST SHERIFF CARMINE MARCENO, THE LEE COUNTY SHERIFF’S OFFICE, AND THE SHERIFF’S ICE CREAM RESPONSE TEAM IN ANY WAY RESULTING FROM, OR RELATED TO ANY AND ALL ACTS OR OMISSIONS ON THE PART OF SHERIFF CARMINE MARCENO, THE LEE COUNTY SHERIFF’S OFFICE, AND/OR THE SHERIFF’S ICE CREAM RESPONSE TEAM WHETHER OR NOT SUCH ACTS OR OMISSIONS WERE/ ARE INTENTIONAL, TORTIOUS OR NEGLIGENT AND ARISING OUT OF THE USE OR PUBLICATION OF PHOTOGRAPHS/IMAGES/VIDEOS/DEPICTIONS/SOUND RECORDINGS OF ME AND/OR MY CHILD.