Release Form

Use of Staff/Volunteer/Client

Photo, Video, and Voice

I give Catholic Social Services of Southern Nebraska (CSS) consent to record, videotape, photograph my image, and/or voice in relation to the mission of CSS. These items may be used in the following ways while working, volunteering, or receiving services from CSS:

  • -CSS intranet/printed materials accessible by employees only
  • -CSS website accessible via the internet to anyone
  • -Printed/digital marketing materials and client/donor communications (i.e. the Southern Nebraska Register newspaper, CSS newsletters)
  • -Social media platforms

I understand that no special compensation will be provided to me for the use of my image and that I may not be informed in advance of the specific use of my image. I further understand that I may opt-out of this practice upon written authorization to CSS.

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