Photo Release Form SEIU Local 2015 Full Name* Home Address* City* State* Zip Code* Home Phone Cell Phone* Office Phone Email Address* Job Title/Department* Worksite Name* I do hereby give to Service Employees International Union (SEIU), SEIU’S affiliates, and its and their successors and assigns, my permission to use pictures and videos made of me and comments made by me on this date in tapes, printed material, digital media, and other materials. I further agree to indemnify and hold the above-named entities, and their successors and assigns, harmless from and against any and all liability that might arise out of the use or production of said comments and pictures.Your Full Name* Today's Date* Signature (use your mouse or trackpad if using a computer, use touchscreen if on a mobile phone or tablet)*NOTE: Photographer, please note below what they’re wearing and what color for easy identification in photos.Subject Description*