I hereby consent to and authorize the following uses and reproductions by Pinckneyville Community Hospital (PCH), including the Family Medical Center, Area Health Education Center (AHEC), or anyone authorized by Pinckneyville Community Hospital, for any purpose, including but not limited to news releases, marketing, advertising, videos, fundraising, the hospital website, social media sites, and media interviews. I (student, job shadower, or volunteer) consent to Pinckneyville Community Hospital's use of photographs of me, with or without my name, for such purposes, including but not limited to publicity, illustration, advertising, web content, bulletin board, newsletter, and recognition programs. I understand I will not be compensated for this use. All negatives, together with the prints, videos and testimonials shall constitute the property of PCH, solely and completely. I understand that I may revoke this authorization in writing at any time by contacting the Marketing Director or Administrator/CEO of PCH at 5383 State Route 154 Pinckneyville, IL 62274, except to the extent that action has been taken in reliance on this authorization. Anyone under 18 years of age, authorization must be given by parent or guardian by signing below.