The undersigned hereby irrevocably consents to and authorizes the use by Reveille Veterans Bridge Foundation, its officers and employees, (“Foundation”) of the undersigned’s image, voice and/or likeness as follows: The Foundation shall have the right to photograph, publish, re-publish, adapt, exhibit, perform, reproduce, edit, modify, make derivative works, distribute, display or otherwise use or reuse the undersigned’s image, voice and/or likeness in connection with any product or service in all markets, media or technology now known or hereafter developed in Foundation’s products or services, as long as there is no intent to use the image, voice and/or likeness in a disparaging manner. The Foundation may exercise any of these rights itself or through any successors, transferees, licensees, distributors or other parties, commercial or nonprofit. The undersigned acknowledges 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. Please indicate your agreement to the foregoing by signing below. Full Name: First Name: Last Name: Email: Telephone: If you are under seventeen (17) years of age, your parent or guardian must sign below: I represent that I am a parent/guardian of the minor who has signed the above release and that in that capacity the Foundation has my consent and authorization to use the name, voice and/or likeness as described above. Parent/Guardian: Guardian Full Name: First Name: Last Name: Email: Phone: I understand by entering my name on the signature line that it represents an electronic signature, which is legally binding. I, also, agree to receiving email updates about Reveille Bridge Veterans Foundation's activities and community impacts. SUBMIT
