I hereby authorize The Cross Cultural Health Care Program to use my property, photographs, audio and/or video of me and authorize their employees, licensees, and legal representatives to use and publish (without my name) photographs, pictures, portraits, images, video and/or voice in any and all forms and media and in all manners including composite images or distorted representations, for the purposes of publicity, illustration, commercial art, advertising, publishing (including publishing in electronic form in CDs or Internet websites), for any product or services, or other lawful uses as may be determined by The Cross Cultural Health Care Program, without payment or any other consideration. I understand and agree that these materials will become the property of The Cross Cultural Health Care Program and will not be returned.
In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photographs/videos.
I hereby hold harmless and release and forever discharge The Cross Cultural Health Care Program from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I am at least 18 years of age and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.