I grant permission to Community Health Association Inland Southern Region (CHAISR) and its authorized representatives, unless otherwise notified in writing, to record on photography film and/or video, pictures of my participation. I further agree that any or all of the material photographed may be used, in any form, as part of any future publications, brochure, electronic and social media, or other printed materials used to promote CHAISR, and further that such use shall be without payment of fees, royalties, special credit, or other compensation.