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May 6th-9th, 2024

I hereby agree and consent to the following:

  1. Releasee to use my likeness in any photograph, video or other digital media (“Photos”) taken or to be taken on May 8th-11th, 2023 during the 2023 NIPHLE Training event in any and all of its publications, including print or web-based publications.

  2. I authorize NIPHLE to copy, edit, enhance, crop, or otherwise alter any Photo for use in their publications. I also waive any rights for approval or inspection of any Photos.

  3. I understand and agree that all Photos are the property of NIPHLE and will not be returned to me.

  4. I acknowledge that I am not entitled to any compensation or royalties with respect to the use of the Photos.

  5. I agree to release and forever discharge NIPHLE and its affiliates, successors and assigns, officers, employees, representatives, partners, agents and anyone claiming through them, in their individual and/or corporate capacities from any and all claims, liabilities, obligations, promises, agreements, disputes, demands, damages, causes of action of any nature or kind, known or unknown, which I, and anyone claiming on behalf of me, may have or claim to have against Releasee in connection with this Release.

I confirm I have carefully read and fully understand all the provisions of this Photo Release Form and am freely, knowingly, and voluntarily agreeing through this registration form.

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