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I hereby grant Planned Parenthood Federation of America, Inc. and all other Planned Parenthood organizations (collectively, “Planned Parenthood”) and their successors and assigns, and to such other persons as Planned Parenthood may designate from time to time (“licensees”), the absolute and irrevocable right to take, use, publish, reproduce, distribute and/or copyright photographs, images, and recordings of or including me, my name, voice and likeness, either still, motion picture or sound, for advocacy, advertising, promotions and trade purposes and receive reimbursement for such in any and all publication and advertising media, in any manner in any media, whether now known or hereinafter invented, wherever and however they desire, in the United States or elsewhere in the world at any time in perpetuity.

I agree that any pictures or images taken of me or sound recorded of me by the Licensees are owned by them, including any quotations, reproductions, derivatives, or alterations thereof. If I should receive any photograph, image or recording from Planned Parenthood, I shall not authorize its use by anyone else. I agree that any text I submit to Planned Parenthood is owned by them, including any quotations, interviews, reproductions, derivatives, or alterations thereof.

Without limiting any of the foregoing, I (1) irrevocably consent to and authorize the reproduction, alteration and publication of such photographs, images or recordings, in whole or in part or in conjunction with other photographs, images, audio recordings and/or text, or in any altered or derivative forms, without any future compensation to me and (2) specifically waive any right to inspect or approve the final photography, images or recordings (or any derivatives or alterations thereof) that may be taken, used, published, reproduced, distributed or copyrighted hereunder.

I specifically release Licensees and all personnel associated with Licensees of any and all liability to me and/or my property of any and every nature, including but not limited to any and all claims of defamation, privacy or publicity, arising out of any use or uses of my name, voice, likeness, photography, image, recording or content as contemplated herein. I further agree that I will not hold Licensees, or anyone who receives permission from Licensees, responsible for any liability resulting from the use of my name, voice, portrait, likeness, photograph(s), image(s) and/or recording(s) in accordance with the terms hereof.

I certify that either I am at least 18 years of age and am under no legal or contractual disability to grant the rights and so forth above, or I am the parent or guardian of the minor named below and grant the above rights and make the above releases, warranties, and statements on behalf of such minor and myself.