I hereby grant permission to the rights of my testimonial statement, image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my statement and/or image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my testimonial and/or likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse settings within an unrestricted geographic area.
Testimonial statements, photographic, audio or video recordings may be used for the following purposes:
By signing this release I understand this permission signifies that testimonial statements, photographic or video recordings of me may be electronically displayed via the Internet or in a public setting. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. This release applies to testimonial statements, photographic, audio or video recordings collected as part of the sessions listed on this document only.
By signing below I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material.