Photo / Video Release

PHOTO/VIDEO RELEASE AND CONSENT AGREEMENT

It is understood that any use of my name, likeness, voice and/or video recording depicting my likeness by The Young Americans will solely be used and/or portrayed in a tasteful and respectful manner, appropriate to furthering the mission of The Young Americans, Inc., a California nonprofit public benefit corporation.

For valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I, the undersigned, hereby irrevocably grant the Young Americans, Inc. (d.b.a The Young Americans) (hereinafter, “YAs”), its agents or representatives including, but not limited to, its licensees, producers or publishers, and its successors and assigns, the right and permission to use my name, likeness, comments made by me in any interview and any audio and/or video recordings and/or photographs of me which may be taken during the course of any YAs’ program(s) for any and all purposes including, but not limited to, promotion, editorial, advertising, educational, motion pictures, television, trade, and commercial use, without limitation and without further compensation to me.

I understand and agree that such photographs and/or video recordings of me may be placed on the Internet. I also understand and agree that I may be identified by name and/or title in printed, Internet, or broadcast information that might accompany the photographs and/or video recordings of me. I hereby waive any right to inspect or approve the final audio and/or video recording(s), photographs, advertising copy and/or printed matter that may be used in conjunction herewith, or to any eventual use to which it may be applied. I further agree that all such video recording(s), photographs, audio recordings, digital files, and any reproductions thereof, are and shall remain the property of YAs.

I hereby release, acquit and forever discharge YAs, its agents, officers, and employees from any and all claims, demands, rights, promises, damages, and liabilities arising out of or in connection with the use or distribution of said photographs and/or video and audio recordings, including but not limited to, any claims for invasion of privacy, appropriation of likeness, or defamation.

This agreement constitutes the sole, complete and exclusive agreement between YAs and myself, and supersedes all prior written or oral agreements. I am not relying on any other representations, whether oral or written, in executing this Photo/Video Release and Consent Agreement.