Purpose: To create a video that captures who Anne Blachman was and what she meant to you and others.
___I authorize Nancy Blachman, working with Video Free America, to record my image and voice and to use those recording in an edited program about Anne Blachman's life.
___I authorize Nancy Blachman, working with Video Free America, to record my voice, but not my image, to use those recording in an edited program about Anne Blachman's life.
___I don't give permission to Nancy Blachman, working with Video Free America, to record my image and voice and to use those recording in an edited program about Anne Blachman's life.
___I authorize Nancy Blachman, working with Video Free America, to record my image and voice and to use those recording in an edited program about Anne Blachman's life.
___I authorize Nancy Blachman, working with Video Free America, to record my voice, but not my image, to use those recording in an edited program about Anne Blachman's life.
___I don't give permission to Nancy Blachman, working with Video Free America, to record my image and voice and to use those recording in an edited program about Anne Blachman's life.