PUBLICITY RELEASE FORM
I hereby authorize and grant permission to the United States Tennis Association/Midwest Section Incorporated and any of its authorized agents to use my photographic image for any electronic or non-electronic form or media. I agree that my image may be reproduced, edited and used in whole or in part for any and all media, including, without limitation, print, audio-visual, multimedia, and/or exhibition purposes, in any manner, in perpetuity and throughout the world. I understand and agree that I have no rights to any benefits derived from any such image.
I expressly release and forever discharge the United States Tennis Association/Midwest Section Incorporated and any of its authorized agents any and all claims and demands of any kind whatsoever in relation to, or arising out of, the use of my photographic image. I am at least 18 years of age and I am competent to contract in my own name (if 17 years old, please have parent sign instead of player). I have read this release before signing below, and I fully understand the contents, meanings and impact of this release and waiver.