NAME & LIKENESS RELEASE
In connection with the production of content for the Turner Syndrome Foundation Inc, the undersigned hereby agrees that you may film, videotape, photograph me and record my voice. You shall be the exclusive owner of the results and proceeds thereof with the right to use and to edit my name, likeness and voice in any and all media, including without limitation, theatrical, print television, radio, and video cassettes, in and in connection with the exhibition theatrically, on television or otherwise, of any motion picture, videotape, or other form in which the same may be incorporated and in the advertising, sale, publicity and promotion of any such motion picture, videotape, or product associated therewith. I hereby release and discharge you, your successors, subsidiaries, assigns, agents, affiliates, licensees and advertising agencies from any and all claims, demands, or causes of action which I may at any time have in connection with the use and license of the rights granted herein.
** I understand that this is an “at-your-own-risk” program! Turner Syndrome Foundation and affiliates of this program do not assume any liability for any injuries or otherwise that take place during the duration of this program. Turner Synrome Foundation recommends that I speak with my doctor before beginning this program.**