USE OF NAME, LIKENESS OR VOICE: I hereby irrevocably consent to the use of Applicant’s name and likeness, including voice and image in any form, including but not limited to, print or video by One Plate America, Inc., its parents, affiliates, subsidiaries, related entities, successors, licensees or designees and others acting on its behalf (collectively, "OPA") for the purpose of advertising and promotion in any media, throughout the world in perpetuity, including but not limited to, on the world wide web. If I contributed to creating any production, in any manner, I hereby irrevocably consent to OPA’s use as set forth above. I agree that OPA shall own all rights, title and interest in all content and all rights embodied therein and that it may exploit, edit, modify, and distribute the recording, without limitation, and without pay and/or any compensation, further permission or notification to Applicant, his/her parent, and/or his/her legal guardian. I hereby waive any inspection or approval of use. I also waive and release OPA from any claims based upon invasion of privacy, right of publicity, defamation, false endorsement, or claim of visual or audio alteration or faulty mechanical reproduction. This consent is granted freely and voluntarily without any inducement, promise, or representations of any kind.
PLEASE SIGN BELOW. If under 18, the form must be signed by the Parent or Legal Guardian