EDI Release of Information Form

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Authorization and Release

The undersigned authorizes the Oregon Department of Education (ODE), and advertising agencies and their successors, assigns and nominees to use and reproduce the name, picture, portrait, film, photograph, video or voice of the undersigned in all forms and manners of media, in use and to be developed in the future.

The undersigned waives any right to inspect or approve any unfinished, altered or finished product that may be created in connection with their service.

The undersigned hereby releases the State of Oregon, ODE, its affiliates, advertising agencies, assigns and nominees from any and all claims for libel, slander, invasion of privacy or other claim based on the use of the undersigned’s service now and in the future.

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