NOWINCLUDED Media Release

I, participant, am aware that my likeness (including but not limited to photos, videos, quotes) will be published on Acclinate, dba NOWINCLUDED, powered by Acclinate platforms and communications.

As a participant I declare as follows: I agree that Acclinate and its affiliates, subsidiaries, partners, licensees, successors and assignees (individually and collectively, the "Producers") may use the likeness I provided (including but not limited to photos, videos, quotes), or film and photograph me, livestream and record my likeness and voice during the Event indicated below and that Producers will be the exclusive owner of all the results, film, photographs, recordings, and proceeds of the Event ("Materials") with the right to use and license others to use the Materials in all media (whether now known or later developed), throughout the universe, and in perpetuity.

This permission includes the exclusive and perpetual right to use my likeness and voice in connection with the public performance, public display, exhibition, sale, transmission, distribution (by any means) and exploitation and any other use of in any media form, whether now available or later conceived. It is agreed that no payments, residuals, reuse fees or other compensation shall be made to me or any other party in connection with my likeness, attendance and/or participation in the Event or Materials. To the maximum extent permitted by law, I hereby release, discharge and agree to hold harmless and defend Producers, their legal representatives and assigns, and all persons acting under their permission or authority from any and all liability, including but not limited to, any liability for what might be deemed to be misrepresentation or defamation of me, my character, or my person or that of my minor child or children, as applicable, due to any use, modification, distortion or otherwise faulty or altered reproduction of my/my child or children's voice(s).

In consideration for providing or participating in a photograph, video and/or sound recording session, I hereby release, discharge and agree to hold harmless Producers and their respective legal representatives and assigns from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury that may be sustained by me, or to any property belonging to me while participating in such activity, or while in, on or upon the premises where the Event is being conducted or in transportation to and from said premises. I acknowledge that nothing herein will obligate Producers to use my name, or likeness, the Materials, or any photographic, video, or audio recording of me from the Event. By checking the box below, I confirm that I am a legally competent adult, that I have the legal capacity to enter into this Media Release Agreement ("Release"), and, if applicable, that I am the parent or legally appointed guardian of the minors) listed below I have read the above authorization, release and agreement set forth in this Release, along with any attachments, prior to its execution, and I am fully familiar with its contents. This Release shall be binding upon me and/or my minor children, and my/our respective heirs, legal representatives and assigns. In the event that any provision of this Release is found by a court of competent jurisdiction to be illegal, invalid, unenforceable or unconscionable, the remainder of this Release shall remain in full force and shall be unaffected by such finding, and the Parties shall agree upon an effective provision that, insofar as legally possible, most closely reflects the Parties intent.

By completing this form and answering the questions below, you are agreeing to the terms of this media release, and to receive information via email or text about the NOWINCLUDED Community and updates about programs, opportunities, and events. To OPT OUT of these communications, please check the box at the end.