The undersigned, (“Releasor”) hereby grants Ambrosia Treatment Center (“Ambrosia”), its subsidiaries, affiliates, sister companies and their affiliates and subsidiaries, present and prospective franchisees, assignees and successors (each a “Related Entity”), the absolute and irrevocable right and permission to photograph, film, videotape and or through any other form of media, record and/or use his/her name, likeness, photographs and/or voice reproductions by in all forms of advertising and sales promotion including, without limitation, television and radio advertising, print media, electronic or online marketing, other advertising, sales brochures, catalogues and other sales and promotional materials that may be used to promote Ambrosia’s or a Related Entity’s business as well as by any person, entity or other third party acting under Ambrosia or a Related Entity’s permission or authority with whom such party has agreed provide media for promotional purposes.
Releasor hereby waives the right to inspect or approve the finished likeness, photographs and voice reproductions that may be used by Ambrosia or a Related Entity hereunder. Releasor also acknowledges that all such likeness, photographs and voice reproductions shall be the sole and absolute property of Ambrosia and Releasor shall have no property rights therein.
Releasor further attests that (i) all comments and narratives provided by him/her to Ambrosia are factual and depict actual events that have taken place in his/her life and (ii) Ambrosia has not scripted or altered his/her testimonial in any way, if applicable. In the event at any time there is a change in the aforementioned attestations Releasor will immediately notify Ambrosia.
Releasor represents and warrants that he/she has the right to grant Ambrosia the above-mentioned rights without obtaining the permission of, or making payments to, any third party or entity. This authorization and release shall inure to the benefit of the legal representatives, licensees and assigns of Ambrosia. Releasor hereby releases Ambrosia and it’s Related Entities from, and covenants not to sue Ambrosia or any Related Entity for, any claim or cause of action, whether known or unknown, for libel, slander, invasion of right of privacy, publicity or personality, or any other claim or cause of action, based upon or relating to the use of Releasor’s name, likeness, photograph or voice reproduction or the exercise of any of the rights referred to herein. Releasor agrees to indemnify and hold harmless Ambrosia and its Related Entities and any person claiming under Ambrosia or a Related Entity, and the officers, directors, shareholders and employees thereof, from and against any liabilities, losses, claims, demands, costs (including without limitation attorneys' fees) and expenses arising in connection with any breach or alleged breach by me of any of the above representations, warranties or agreement hereunder.
This release will inure to the benefit of and will be binding upon Releasor’s respective affiliates, successors, licensees, assigns, heirs and representatives.
Releasor affirms that he/she is at least eighteen (18) years of age or older, and competent to sign this Release on his/her own behalf. If Releasor is a minor or lacks capacity in the jurisdiction of residence, parent warrants and represents that parent is the legal guardian of Releasor and has the full legal capacity to execute this Release on Releasor’s behalf.