Consent and Release Form

If you would prefer to complete the fillable PDF form, please click here to download the form.

Being of legal age to consent for myself or as the legal parent or guardian of a minor child or person unable to consent on his or her own behalf, (hereinafter the “featured individual”) hereby grant to Goodwill Industries International and Goodwill Industries of Northwest North Carolina the right and permission to use the following materials featuring the likeness or voice of me or the other featured individual for any lawful, non-commercial purpose, and in any and all media currently existing or to be developed in the future, without payment or any other consideration:

  • photographs
  • negatives
  • reproductions and copies of original photographs
  • recordings
  • any written words or stories supplied by me/the other featured individual or written about me/the other featured individual

(collectively, the “Image Materials”).

In addition, I waive any right to inspect or approve the finished product using the Image Materials. I hereby acknowledge that Goodwill Industries International and Goodwill Industries of Northwest North Carolina, together or individually, may make modifications to the Image Materials and make additional uses of the Image Materials. This Consent and Release Form shall remain in effect for a period of seven (7) years, unless revoked. I understand that I may revoke this consent by submitting a written request to Lauren Lawson-Zilai, GII senior director of public relations at email, and Jaymie Eichorn, Goodwill Industries of Northwest North Carolina VP of marketing and communications at email. I understand that, if I revoke this consent, my revocation will not have any effect on actions already taken by Goodwill Industries International and Goodwill Industries of Northwest North Carolina in reliance on my consent.