iProtean One Wish Interview Waiver/Release

I hereby grant permission to IPROTEAN and its representatives ("iProtean") to take photographs or videos of me and to make recordings of my voice at the 2019 AHA Leadership Summit in San Diego California.

I further grant to the producers and their representatives the right to reproduce, use, exhibit, display, broadcast, distribute, and create derivative works using these images and recordings in any media now known or later developed. I acknowledge that iProtean owns all rights to the images and recordings.

Waiver, Indemnity, and Release

I hereby waive any right to inspect or approve the use of the images or recordings or of any written copy. I further waive all moral rights. I acknowledge that my voice, likeness, and name are not required to be used or receive credit if chosen to be used. I also waive any right to royalties or other compensation arising from or related to the use of the images, recordings, or materials. I hereby release, defend, indemnify and hold harmless the producers from and against any claims, losses liabilities, damages and expenses arising from or related to the use of the images, recordings or materials, including but not limited to claims of defamation, invasion of privacy, or rights of publicity or copyright infringement, or any misuse, distortion, blurring, alteration, optical illusion or use incomposite form that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.

There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. I acknowledge that I am fully able to enter into this agreement and am not a member of any performing union subject to union rules.

This agreement constitutes the entire understanding between the parties, supersedes any prior understanding relating thereto and shall not be modified except by a writing signed by the parties.

This agreement shall be irrevocable and shall be binding upon and inure to the benefit of Licensor's and Licensee's respective successors, assigns and licensees.

I am 18 years of age or older and I am competent to contract in my own name. I have read this document before signing below, and I fully understand the contents, meaning and impact of this consent, waiver, indemnity and release.

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