Image Release Form

I hereby grant VAW GLOBAL HEALTH ALLIANCES (VAW GLOBAL), INC., its successors, assigns, and legal representatives (“VAW Global”) the irrevocable right to use my name, written words, photograph, image, audio recording, video recording, and/or likeness (the “image”) in all forms and manner, including, but not limited to, photographs, videos, or other digital media in any and all of its publications, including Internet web-based publications, websites, promotional material, or for any other similar purpose, without payment or other consideration to me.

I understand and agree that all images will become the property of the VAW Global and will not be returned. I hereby irrevocably authorize VAW Global to edit, alter, copy, exhibit, publish, or distribute these images for any lawful purpose. I waive any right to inspect or approve the finished product wherein the image appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the image.

I hereby hold harmless, release, and forever discharge VAW Global, and its owners, officers, directors, successors, assigns, and legal representatives 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 arising out of or in connection with this authorization. This Image Release shall be governed by the laws of the state of South Carolina.

I HAVE READ AND UNDERSTAND THE ABOVE IMAGE RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE AND COMPETENT TO CONTRACT IN MY OWN NAME, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS. THIS RELEASE IS BINDING ON ME, MY HEIRS, ASSIGNS, AND PERSONAL REPRESENTATIVES.