LIKENESS
RELEASE AND CONSENT FORM
I and/or any above-referenced
child under 18 years of age on the date hereof (I, with any such child, collectively,
the “Releasor”), hereby grant the JESSIE REES FOUNDATION (the “Foundation”) the
Releasor’s irrevocable consent to distribute, publish, exhibit, digitize,
broadcast, display, reproduce, photograph, videotape, or otherwise use the Releasor’s
name, picture, portrait, likeness, voice, writings or biographical information
(including, if applicable, disease diagnosis), and audiotape and/or videotape
recordings, and sound or silent motion pictures of the Releasor in any manner
or media whatsoever, whether now known or hereafter known (“Likeness”),
anywhere in the world in perpetuity for any lawful purpose of the Foundation whatsoever,
including without limitation, for editorial, educational, promotional, and
advertising purposes, for the solicitation of contributions, as evidence in
litigation, and for any other purpose in furtherance of the corporate purposes
and objectives of the Foundation. I
affirm that I am the parent/legal guardian of any above-referenced child and
that I have full authority to grant the releases, waivers, and consents herein,
including rights in his or her Likeness.
I further agree that
the foregoing provision shall apply to, without limitation, any Likeness (or
any part thereof) provided by the Releasor to the Foundation, or uploaded by the
Releasor to any Foundation media or social media platform, whether concurrent
with the execution of this consent or at any time thereafter. I also consent to the digital manipulation or
distortion of any such Likeness, including, without restriction, any changes or
alterations as to color, size, shape, perspective, context, foreground and
background. I further agree that the Foundation shall be the exclusive
owner of all copyright and other rights in such Likeness. Finally, I understand that the Releasor will
not be compensated and agree that the Releasor will not seek at any time to
receive any financial benefit or compensation in connection with such Likeness or
use thereof.
I hereby, on
behalf of the Releasor and the Releasor’s heirs, executors, administrators,
assigns, and all legal guardians, WAIVE AND
RELEASE ANY AND ALL RIGHTS, CLAIMS AND CAUSES OF ACTION OF ANY NATURE, EITHER
IN LAW OR EQUITY, that the Releasor may have against the Foundation, its
directors, officers, employees, agents, chapters, assignees, licensees,
volunteers, and cooperating entities, and their respective representatives,
heirs, executors, administrators, successors, and assigns (the “Released
Parties”), whether known or unknown, fixed or contingent, which arise, or may
arise hereafter, out of or are in any manner whatsoever, directly or
indirectly, connected with or related to the Foundation’s use of the Likeness
(collectively, the “Released Claims”). I UNDERSTAND THAT BY EXECUTION OF THIS RELEASE THE
RELEASOR IS AGREEING NOT TO SUE any or all of the Released Parties in
connection with the Released Claims, and the Releasor will have no claim for
any losses, injuries or damages arising from, in connection with, or related to
the Released Claims, whether known or unknown on the date hereof.
By agreeing to this
waiver, release, and consent, I certify that (i) I have read this document and
fully understands it and the implications of signing this document, (ii) I am not
relying on any statements or representations of any Released Party, orally or
in writing, regarding the subject matter hereof, (iii) I acknowledge receipt of
good and valuable consideration in exchange for this release, which may simply
be the opportunity to represent the Foundation in its promotional and
advertising materials as described above, and (iv) I understand that this document
shall be binding upon me and any above-referenced child under 18 years of age
on the date hereof, and their respective heirs, executors, administrators,
assigns, and all legal guardians.
