Photo Release Form

I hereby authorize and give full consent to Clubfoot Solutions to copyright and use, re-use, publish, and re-publish all photographs taken or given to Clubfoot Solutions in which I appear, in whole or in part.

I further agree that Clubfoot Solutions may use, or cause to be used, these photographs for any and all exhibitions, public displays, publications, commercial, or advertising purposes, without limitations or reservations and in any medium whatsoever, whether foreseen or unforeseen at this time. I waive the right to any compensation, ownership, and/or publication rights I may be entitled to in connection with these photographs. I authorize Clubfoot Solutions to edit, alter, or copy these photographs and use them in editorial publications, the internet, or other means of communication. I waive any right to inspect or approve the finished product or products or the advertising copy or printed matter or video/motion edits that may be used in connection therewith or the use to which it may be applied.

I state that I am over the age of 18 and have read this release prior to its execution and am fully familiar with its contents.

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