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  • Authorization for use: By signing this document I hereby release to embrella and their affiliates, successors and assigns and those acting under their permission or upon their authority (hereinafter collectively referred to as embrella) all rights to utilize, reproduce, copy, modify, create derivatives or otherwise use the images, likenesses, photographs, recordings, video and audio tape taken of me by embrella and any written or oral statement or communication made by me to embrella, or any artistic image or drawing created by me for embrella, regardless of the format of reproduction or utilization whether now existing or created in the future, for the purpose of inclusion in embrella’s marketing, informational, educational, contractual or fundraising or other materials. Use of words and images: I understand that these quotes, statements, testimonials, photographs, audio and video recordings, images, drawings etc., may be used by embrella in perpetuity in whatever format chosen by embrella to promote its services, operations and/or events. I waive any right I may have to inspect or approve the finished product that may be used or to which any such items may be applied now or in the future. I also waive any right to compensation arising from or related to the use of these items, as well as any claim for damages arising from defamation, invasion of privacy or any other legal claim based upon or related to the use of my words or images. Signature and permission: I warrant and represent that I am over the age of eighteen (18) and that I have read this release in its entirely and fully accept it terms and that I am executing this release voluntarily.

  • Complete the following if the individual is a minor or a legal ward in the state of New Jersey: I, the undersigned, warrant and represent that I am the parent, foster parent or legal guardian of the minor named above and that I have read the above release agreement and am fully familiar with the contents thereof and I hereby grant my permission and consent to all of the foregoing. Notwithstanding this release and authorization or the checkbox below, embrella operates within the guidelines of DCP&P policy and will not use names, photographs, video or other recordings of children in foster care where their identities or their status as children in foster care would be revealed.