COMMUNITY ALLIANCE WITH FAMILY FARMERS
P.O. Box 363
Davis, CA 95617
I, ______________________________________________do hereby give permission for Community Alliance with Family Farmers (CAFF) to reproduce, distribute, and publicly display my photo and to identify me by name on any display or publication in connection with CAFF work and activities. I understand that my permission to use the image is not limited and that I will not receive compensation for granting this permission. I acknowledge that CAFF has no obligation to use my photo or name if it chooses not to.
I hereby unconditionally release CAFF and its representatives from any and all claims and demands arising out of the activities authorized under the terms of this agreement.
By signing below, I represent that I am at least 18 years of age, I have read this agreement and am familiar with all of the terms and conditions in it and I consent to its execution. I agree that I will not revoke or disaffirm this agreement at any time.
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Signature / Date