Video submission information

If you are active, send over some videos of what you do to stay healthy.

Here is the email address: Activelyfitseniors@gmail.com just cut and paste this into your current email and send it over.

If they are approved then I will add them to the appropriate topic page. For instance, if they are videos of you doing balance exercises they may show up under that menu topic.

However, the downside to this is there will be no payment for these and by sending them over to me you are also giving me a release consent form  as stated on the form below:

Video Consent and Release Form

Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to __________________________ [legal entity/organization], its affiliates and agents, to use my image and likeness and/or any interview statements from me in its publications, advertising or other media activities (including the Internet).

This consent includes, but is not limited to: (Initial where applicable)

_________ – (a) Permission to interview, film, photograph, tape, or otherwise make a video reproduction of me and/or record my voice;

_________ – (b) Permission to use my name; and

_________ – (c) Permission to use quotes from the interview(s) (or excerpts of such quotes), the film, photograph(s), tape(s) or reproduction(s) of me, and/or recording of my voice, in part or in whole, in its publications, in newspapers, magazines and other print media, on television, radio and electronic media (including the Internet), in theatrical media and/or in mailings for educational and awareness.

This consent is given in perpetuity, and does not require prior approval by me.

Name:                                                                                                                                 

 Signature:                                                                                                                

Address:                                                                                                                   

Signature of the Actively Fit Seniors Representative, Danny M. O’Dell

No Minors are to be videoed and sent in for my review and approval. If sent, they will not be used on the ActivelyFitSeniors Facebook, WordPress or YouTube sites.

Revised 210719

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