Media Release Form

By signing below I, (Your Name) authorize Na Hoaloha, MIVC, the use of any photos, video, or testimony.
I understand that any photo, video, or testimony may be informational, instructional, or used during fundraising or for any other commercial purposes. I have not been compensated; nor will I seek compensation for said media. I release the organization from responsibility should a third party violate the terms of this release.
 

Your Email (required)

By checking this box and typing my name above, I am electronically signing this release form. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
I consent to my submitted data being collected and stored.

(NOTE: These checkboxes MUST be checked in order to submit the form.)