PHOTO / VIDEO / IMAGE RELEASE FORM

PHOTO / VIDEO / IMAGE RELEASE FORM

I hereby grant Ford Next Generation Learning and any of its photographers, videographers, and other agents, whether employees or contractors, permission to take or create photographs, videotapes, and images of me and/or my work product, for the purpose of promoting Ford Next Generation Learning, its partners, and affiliates. As used in this form, “photographs” includes all images memorialized in film, digital, and other media, whether such media are now known, or later invented or discovered.

Ford Next Generation Learning shall exclusively own all the photographs and/or videotapes, and all the copyrights and other rights in the photographs and/or videotapes, and Ford Next Generation Learning shall have, and I hereby grant, the right to use, display, reproduce, sell, distribute, edit, and modify the photographs and/or videotapes in such manner and in such media as it, in its sole discretion, deems appropriate, throughout the world, in perpetuity. The previous sentence notwithstanding, I will retain any and all preexisting rights that I may have in any copywritten work that is photographed and/or videotaped by Ford Next Generation Learning.

I expressly release and discharge Ford Next Generation Learning, its agents, employees, partners, affiliates, and assigns from and against any and all claims that I have or may have for invasion of privacy, defamation, right of publicity, or any other cause of action, arising out of or related to the use of my image and likeness, or the use of the images of my work product, as portrayed in the photographs and/or videotapes, and/or any production, printing, distribution, broadcast, or exhibition of the photographs and/or videotapes.

The rights granted herein are in consideration of the satisfaction I am receiving from the use of the photographs and/or videotapes in the manner contemplated herein, which consideration is adequate, legal, and sufficient, without any monetary compensation.

I am at least 18 years old, have read the foregoing document, and fully understand its contents.

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By signing this signature box, you acknowledge and accept the terms of the waiver.