Native Village of Eyak
P.O. Box 1388; Cordova, AK 99574
(907) 424-7738 Fax: (907) 424-7739
Photo/Media Release Form
I am voluntarily signing this release form which gives the Native Village of Eyak (NVE) and the
Elders program permission to use photographs, video, audio recordings, and/or textual
material, taken of myself for use in external or internal publications, including web sites or other
electronic forms or media. In doing so, I have confidence NVE will use this form of media with
the utmost respect.
I give up my right to inspect or approve the photographs, publications, or electronic matter that
may be used now or in the future and I waive any right to royalties or other compensation
arising from or related to the use of the photographs.
I agree to hold harmless NVE from and against any claims, damages or liability arising from or
related to the use of the photographs or other media.
I am 18 years of age and I agree with all statements made above. I have read this release
before signing below, and I fully understand the contents of this release.
Event and Location:
Name (please print):
Date:
Signature:
