Gold Foundation Consent and Release Form

I hereby authorize and consent for The Arnold P. Gold Foundation and its affiliates, agents, licensees, successors, and assigns (collectively, the “Gold Foundation”) to use, edit, reproduce, publish, distribute, and otherwise use certain “Publicity Rights” of me for the “Authorized Purposes” (both as defined herein), as described in this Consent and Release.

Authorized Purposes.  I hereby grant to the Gold Foundation the irrevocable, perpetual, worldwide right, title, and license to use, edit, publish, distribute and otherwise use my name, statements, quotes, voice, picture, portrait, appearance, performance, likeness, and biographical information (collectively, my “Publicity Rights”) as they may be embodied in any photos, video recordings, audio recordings, digital images, and other medium, that I have provided to the Gold Foundation, in connection with the Gold Foundation’s marketing and media related initiatives, including publicity and advertising relating to its COVID-19 storytelling project, and any other purpose (collectively, the “Authorized Purposes”).  Such Authorized Purposes include, but are not limited to, the publication of videos, written materials, audio recordings, advertisements, newsletters, presentations, websites, social media content, and any promotional or educational materials in any medium.

Ownership.  I understand the Gold Foundation will retain exclusive ownership of any materials embodying my Publicity Rights, and I acknowledge that I will not receive any royalties or other compensation for the Gold Foundation’s use of my Publicity Rights.  I agree that no advertisement or other material need be submitted to me for approval, and the Gold Foundation will not be liable to me for any use or publication of my Publicity Rights in accordance with this Consent and Release.  I also grant the rights under this Consent and Release on behalf of myself and my successors, assigns, representatives, agents, heirs, executors, and administrators.  Nothing herein will constitute any obligation on the Gold Foundation to make any use of the rights of the Gold Foundation set forth herein.

Voluntary Consent; Release.  I understand that the signing of this Consent and Release is voluntary, and that if I do not consent to the content, I should not sign this form.  I hereby hold harmless, release, and forever discharge the Gold Foundation, and its directors, managers, officers, employees, affiliates, agents, representatives, successors, and assigns, from all claims, demands and causes of action which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or on behalf of my estate have or may have (whether known or unknown), arising out of or in connection with the use of my Publicity Rights hereunder, including, but not limited to, any and all claims for invasion of privacy, right of publicity, defamation, infringement, or misappropriation or misuse of my Publicity Rights.

This Consent and Release is valid on an ongoing basis unless and until revoked in writing by the signatory below.  I agree that any such revocation of this Consent and Release will only be effective with respect to uses of my Publicity Rights initiated after the date of such revocation.

I acknowledge that I have read this entire Consent and Release, I understand its terms and provisions, I have agree knowingly and voluntarily, and it does not conflict with any existing commitment of mine.