Publicity & Liability Release Form
I hereby give The Meemic Foundation for the Future of Education, Meemic Insurance Company ("Meemic"), its parent companies, subsidiaries and affiliates and its legal representatives and those acting with its authority and permission, the right to use my name, position, biographical information, voice, testimonials and any and all photographs, images and/or videos of me, drawings and likenesses of me, either alone or in conjunction with other names, photographs, images and/or videos of me, or drawings for the purpose of advertising, publicity and trade, in any medium or forum throughout the world in perpetuity, including, but not limited to magazine advertisements, press releases and web sites, without compensation to me. I hereby consent to have any photographs, videos and images cropped, blown up, reduced in size, retouched and otherwise altered.
I hereby release and discharge Meemic and anyone authorized by them from any and all legal claims and demands arising out of, or in connection with, the use of my name, position, biographical information, voice, testimonials, photographs, drawings, or likenesses of me.
I warrant that (a) I am of legal age and at least age eighteen (18) and that I have every right to contract in my own name; (b) other than the statements contained in this Publicity and Liability Release, no representations have been made to me upon which I am relying; and (c) I have read and am fully familiar with the contents of this Publicity and Liability Release and understand that I am legally bound by it and that this release is also legally binding upon my heirs, legal representatives and assigns.