Media Consent Form

I, , (the “Releasor”) grant permission and consent to TPK, LLC (the “Releasee”) for the use of photograph(s)/electronic media images/video & audio recordings of   (Employee). TPK, LLC would like to take photos/film and/or comments of the Employee for promotional purposes. These images and/or comments may appear on our website and email newsletters, in our printed materials produced for promotional purposes, including leaflets, posters, and adverts, in materials sent out to the media, or in reports to funding bodies. TPK, LLC will not include personal email or postal addresses, or telephone or fax numbers on our website or in printed publications.

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Signed by Erik Hughes
Signed On: September 15, 2022

Signature Certificate
Document name: Media Consent Form
lock iconUnique Document ID: 1b95df2e087cb2048c8340f93386dace3bf64e77
Timestamp Audit
September 15, 2022 2:19 pm ESTMedia Consent Form Uploaded by Erik Hughes - IP