Brain Support Network Photo/Video/Recording Release

Brain Support Network
Photo/Video/Recording Release

For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby irrevocably and perpetually grant to Brain Support Network and its respective agents, employees, representatives, successors, and assigns, and anyone authorized by them (collectively, “BSN”), the right and permission to use, reproduce, display, publish, broadcast, alter, and modify my photograph, likeness, statements, and image in video footage and recordings (collectively, “my image”) in association with materials created by Brain Support Network or used in BSN programs for any purpose, including but not limited to incorporating my image into educational, advertising, promotional and/or publicity materials, books, pamphlets or other materials (the “Materials”), in any and all media now existing or hereafter created, without territorial, time, use or any other limitations.  I acknowledge that BSN shall own all rights, title and interest in any Materials, and I waive any right I may have to inspect or approve of the Materials.

I further acknowledge such Materials could be used, reproduced, displayed, published, broadcast, or altered by BSN, but that BSN is not obligated to use my image.  I understand that I will not be paid any royalty or other compensation, and I give up any right I may have to payment if my image is used.

I hereby release, discharge, and agree to hold harmless Brain Support Network from any and all past, present, and future rights, claims, demands, damages, and actions which I, my beneficiaries, administrators and/or executors or assigns have or may have in connection with the use of my image in any and all media, including but limited to any actions for blurring, distortion, alteration, optical illusion or use in composition form.

I understand and agree that: (1) this release shall be binding upon and inure to the benefit of the parties and our respective successors, licensees, heirs, executors, and assigns (as applicable), except that my obligations may not be delegated or assigned; and (2) this release constitutes the entire agreement between the parties regarding my image and no waiver, modification or addition to this release shall be valid unless in writing and signed by the parties.

I state further that I have read or have had read to me this release prior to its execution, and that I am fully familiar with the contents hereof. The attendee agrees to permit Brain Support Network, and its assigns (including but not limited to sponsors, promoters/ organizers of an Event), free of any charges, duties or fees, to use, license, reproduce, have reproduced, show, have shown, without limitation in space or time, all soundtracks, photographs, drawings, trademarks, film/video images concerning Participant in the Event on any medium whatsoever that is sourced by or under the authority of Brain Support Network (excepting medium submitted by a Attendee as part of the Event) for any documents, reports, coverages, broadcast, program, publication, software, etc., whether past, present or future.   The Attendee further acknowledges and agrees that Brain Support Network may freely assign or license its rights to a third party.