Photo-Video Release Form

First Name*

Last Name*

How would you like your name to appear on screen?*

Job Title*

Employee ID

Permission*

I agree to the Terms and Conditions for my submission.

By checking the box, I certify that I have read and agree to the Terms and Conditions for my submission and understand that my videos or images may be used on SEIU Local 721’s website and/or social media.

Please fill out the Photo-Video Release Form.

Member voices are powerful.