For valuable consideration received, I hereby grant to Indiana Soybean Alliance (Photographer) and their legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs and video images of me, or in which I may be included, for editorial, trade, advertising and any other purpose and in any manner and medium; to alter the same without restriction; and to copyright the same.

Student Name:

Purdue Address

I hereby release Indiana Soybean Alliance (Photographer) and his/her legal representatives and assigns from all claims and liability relating to said photographs.

I do further certify that I am either of legal age, or possess full legal capacity to execute the foregoing authorization and release.