Adult image and likeness use release form

I hereby give the Solid Waste Authority of Palm Beach County, its licensees, and legal representatives my express consent to use, publish, print, display or otherwise unconditionally use, at no cost, my name (or any fictional name), picture, portrait, photograph, visual, and/or voice recording and likeness, in all forms and media and in all manners, including photo, film, audio, video, and all social media representations, for nonprofit, public or educational purposes, and I waive any right to inspect or approve the finished product, including written copy that may be created in connection therewith, and also expressly waive any claim or right to compensation for such use.

Your Information

Stay Connected! Opt-In to receive text alerts.
Messaging policy

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.