Lifespring Womens Healthcare Social Media Consent
1. Consent. For good and valuable consideration, the adequacy of which is acknowledged, with the understanding that Lifespring Women's Healthcare (the "Releasee") will invest substantial time and expense to produce certain audio and/or visual works in reliance upon this document, does hereby consent to participation in said production and to being personally identifiable in the resulting media, regardless of production method or type of media, including, without limitation, digital and analog photography, film and videography (with or without sound), and audio recordings (the "Media") whether captured or created by Releasee directly, or by those acting under Releasee's direction
2. Release. Releasor completely and forever releases any current and future financial interest in and any physical or intellectual control of the Media to Releasee and Releasee's heirs, successors, and assigns so that they may use the Media freely and at their discretion, without the need to obtain Releasor's permission or to provide Releasor with any additional compensation.
3. Authorization and Waiver. Releasor authorizes the universal and unrestricted reproduction of their voice and/or likeness in connection with the use or manipulation of the Media by Releasee, Releasee's heirs, successors, assigns, and designees, and those acting with Releasee's permission and authority, in any form now existing or yet to be invented, for all purposes, including, without limitation, streaming, film, television, other forms of transmission, advertising, art, promotion, solicitation, or trade. Additionally, Releasor waives any right to approve the eventual use or purpose to which the Media may be applied; or to inspect or approve the finished images, videos, advertising copy, artwork, materials, or other audio or visual matter resulting from the Media's implementation, use, or manipulation, whether in its original form or processed, altered, blurred, distorted, combined with, or used in conjunction with any other media, and will hold Releasee, Releasee's heirs, successors, assigns, and designees harmless and indemnify same against any claims or demands arising therefrom.
4. Entire Agreement. This agreement constitutes the sole and complete agreement between Releasor and Releasee and shall be governed by the laws of the state of Arkansas. Releasor is not relying on any other warranty, guarantee, or representation, whether oral or written. By signing this release, I affirm that I am of the age of majority and have the right to contract in my own name - OR- if Releasor is a minor, that I have the right to contract in their name and on their behalf. I have read this entire document, understand its contents, and agree to the rights and responsibilities it defines for each party. This agreement shall be binding upon me and my heirs, legal representatives and assigns.


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FIRST AND LAST NAME *
DATE *
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I voluntarily consent to have the picture(s) I provided posted on all social media platforms of women’s healthcare. I have provided my image(s) to genessis@lifespringhealthcare.com *
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