Consent to Photograph /Videotape / Interview Individuals Please read, date and provide your signature on the next pages Terms & Conditions I hereby agree and give my permission for Master Mind Mixer affiliates and/or partners to record, film,photograph, audiotape or videotape myself (hereinafter collectively referred to as “Works”) and to display, publish or distribute these Works for the purpose of publishing, posting on websites and posting on social media sites. I hereby waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and I waive any right to any royalties related to the use of these Works. I understand that the Works may appear in electronic form on the internet or in other publications outside of the Master Mind Mixer affiliates control. I agree that I will not hold the the Master Mind Mixer affiliates responsible for any harm that may arise from such unauthorized reproduction.