Reteach Breech Registration

I,   First Name*   Last Name*   , grant permission to Dr. Stu Fischbein and Birthing Instincts, my permission to use photgraphs/video taken of me during the Reteach Breech Workshop and any related events, for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, social media and web content.

Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.

By signing this release, I acknowledge that I completely read and understand the above release and agree to be bound by its terms. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.