Authorization and Release Agreement
By my signature below, I indicate my agreement with the terms of this Authorization and Release with the American Heart Association, Inc., its affiliates, directors, officers, employees, agents, volunteers and representatives (collectively "AHA"). I have been informed and understand that the AHA might include comments that I make, or stories that I share, or photographs or video I might provide, including but not limited to my name, likeness, image, voice, appearance, performance and/or written words submitted to the AHA, and might be included by the AHA on its Internet websites at some web page, or in its social media channels or in its written materials, to be determined in the sole discretion of the AHA (hereinafter collectively referred to as “Content”).
To this end, I understand that I am providing information about my personal experience with cardiovascular disease or stroke that identifies me and that might describe my past or present mental or physical condition. I acknowledge that I assign the AHA the right to use and disclose this information to the general public in any medium in order to serve the purpose of increasing public awareness of cardiovascular disease and stroke. I also understand stories under the "By American Heart Association News" byline are available for linking, quoting, excerpting and reprinting by other news outlets, websites and organizations.
I grant the AHA and its designees the right to use the Content, whether recorded on or transferred to print, videotape, film, slides, photographs, audio tapes, web site, internet, electronic media or other media, now known or later developed.
I also grant the AHA the right to broadcast, exhibit, publish, and otherwise distribute the Content either in whole or in part, and either alone or with other products, for any non-commercial use the AHA or its designees in their sole discretion may determine.
I confirm that I have the right to enter into this Agreement, that I am not restricted by any other commitment and that the AHA has no financial commitment or obligation to me as a result of this Agreement, and I understand that I will not be paid, compensated or reimbursed in any way for current or future use of the Content, except possibly for travel expenses as the AHA and I might later agree in writing. I hereby give all clearance, copyright and otherwise, for use of my name, likeness, image, voice, appearance and performance embodied in the Content. I expressly release and indemnify the AHA from any and all claims known and unknown arising out of or in any way connected with the above granted uses and representations. The rights granted the AHA herein are perpetual and worldwide.
This Authorization will remain in full effect until such time as the AHA decides it will no longer use any of the Content I have provided.