FXBG EDT Photo/Video Release Form I hereby grant permission to the City of Fredericksburg’s Department of Economic Development and Tourism (EDT) to use my photograph/video in its publications, website, social media or in other EDT promotion projects and publications without further consideration, and I acknowledge EDT’s right to crop or treat the photograph at its discretion. I also acknowledge that EDT may choose not to use my photo at this time, but may do so at its own discretion at a later date. I also understand that once my image is posted on the Economic Development website or EDT social media, the image may be downloaded by any computer user. I agree to indemnify and hold harmless from any claims the City of Fredericksburg. Additionally, photos may be loaned to additional appropriate entities (such as Virginia State Tourism or Fredericksburg Main Street) to promote tourism or business development in the City of Fredericksburg. The City of Fredericksburg’s Economic Development and Tourism reserves the right to discontinue use of photos without notice. Consent of Terms* I have read this Release above prior to its execution and fully understand its terms Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Electronic Signature (Please type full name)*If under 18, parent/guardian must sign Print blank form to fill out here.