I hereby give HAEA and its employees, agents, affiliates, and business and other partners (collectively, “HAEA”) permission to store, process, use and disclose the name, testimony, and any and all images of (including but not limited to any photograph, photographic reproduction, still or moving clip, videotape, voice recording, transcription, and any electronic version thereof) in all forms and media, that HAEA has taken or obtained or will take or obtain.  I understand that my personal information, testimonials, and images may be stored, used, processed, published, distributed, and otherwise disclosed for HAEA’s internal purposes or for educational purposes.
 
I understand that this consent does not imply or guarantee the opportunity to review, approve, or object to the testimonials or images obtained from or of me, or to the eventual uses of such personal information, testimonials, or images that result from me signing this Release and Consent Form.

I hereby waive the right to any financial or other compensation for the use and disclosure of my testimonials or images.  I release HAEA, and those acting under its authority, from any liability associated with the use, processing, publishing, distribution, or other disclosure of my testimonials, or images.