Submit Photos

Submit your Photo!

We are now taking photo submissions to rotate in our Blog header, post on our facebook page, and on this website, and for use in various printed forms. Please submit a completed photo release to grant publishing rights for your photo to Nebraska Friends of Midwives.

Nebraska Friends of Midwives Photo Release

Submit your Photo *

Owner Verification *

I represent that I own all rights to the attached photographic/digital image(s).

Release of Liability *

I hereby grant the Nebraska Friends of Midwives (NFOM) permission to use the image(s) in any and all publications for educational and legislative purposes, including web site or blog entries, without payment or any other consideration in perpetuity. I hereby authorize NFOM to edit, alter, copy, exhibit, publish or distribute this photo. I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my photo appears.

Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph. I hereby hold harmless and release and forever discharge NFOM from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf of on behalf of my estate which may have or may have by reason of this authorization. By submitting the photo(s) along with my electronic signature (below), I'm indicating that I am at least 18 years of age and am competent to contract in my own name. I have read this release, and I fully understand the contents, meaning, and impact of this release.

Name *

Email *

Address *

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Phone Number

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Image Verification
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