Photo Release Form I grant The Butterfly Palace and Rainforest Adventure of Branson, MO the following rights in consideration by The Butterfly Palace and Rainforest Adventure of possible use of my appearance(s) or of my contribution(s) of materials supplied by me in their television or print, media releases, promotional material, etc. to be produced by The Butterfly Palace and Rainforest Adventure or other such individual(s) as determined by The Butterfly Palace and Rainforest Adventure. 1. The Butterfly Palace and Rainforest Adventure shall have total ownership of the program, commercial, media release, photography and have the right to edit, cablecast, broadcast, and make any other use of my appearance or contribution, the right to copyright and the right to license others to use these rights. 2. The Butterfly Palace and Rainforest Adventure may use my name, likeness, voice, biographical information, and material supplied by me for the purpose of advertising, publicity and sales promotions. 3. The Butterfly Palace and Rainforest Adventure’s use of my appearance and/or the material/contribution provided by me as described above will not violate the rights of any person or organization and will not incur any liability for any payment to any person or organization. I agree to indemnify and save The Butterfly Palace and Rainforest Adventure against any liability and expenses (to include attorney fees and expenses) incurred by The Butterfly Palace and Rainforest Adventure with the respect of any claim that material(s)/contribution(s) provided by me violate the rights of any person or organization. Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Signature * By signing my name and submitting this form, I agree to the above Photo Release Form. Thank you!