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Resilience Award – Step 2 – LHH Lability Release
Live Hannah’s Hope (LHH), a non-profit corporation, may enter the applicants name, picture, and submitted story on LHH’s website where it will beconsidered public.
LIABILITY I hereby release, discharge and agree to save harmless LHH from and against any claims, damages or liability arising from or related to the use of any of the aforementioned material, without limitation, any claims for defamation, invasion of privacy, right of publicity or violation of any other right.
MEDIA AUTHORIZATION & RELEASE I agree to permit submitted photographs, submitted stories, video or digital tapes, movies and/or sound recordings of myself (or my child) for the purpose of television, radio, newspaper or outdoor advertising, billboards, bus covers, videos, printed materials, internet and/or news stories. I (or my child) will not receive payment for these pictures and will have no right to view or approve them before or after they have been used. I understand that there is no time limit to this agreement. I hereby authorize and consent that LHH, its legal representatives, successors or assigns, shall have the absolute right to, publish, use, or assign any and all photographic portraits or pictures, television spots, videotapes and/or sound recordings, or any part thereof, they have taken or made of me from this date forward or in which I may be included in whole or in part, whether apart from or in connection with, illustrative or written printed matter, story or news item, television or radio spots, or publications appearing on the internet or worldwide web, or for publicity, advertising or any other lawful purpose whatsoever, in conjunction with my own or a fictitious name, or in reproductions thereof in color or otherwise. I hereby waive all claims for any compensation for such use or for damages, now or anytime in the future. I hereby waive any right that I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied, now or anytime in the future. I hereby warrant that I am of full age and have every right to contract in my own name in the above regard. Or, if the subject of said contract is a minor, I hereby consent and agree, individually, and as a parent or legal guardian of said minor, to all the terms and provisions stated above. I state further that I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof.
The Adult Reference form is to be filled out by an adult of your choice.
They can be a school counsellor, a long time mentor, or anyone who has witnessed your resilience.