I hereby give the Unconventional Foundation for Autism ("
UF4A.ORG") an informational website, its officers, employees, agents, and third parties the absolute and irrevocable right and permission to: (a) display, copy, transfer or distribute my likeness, words, talent, actions, photographs, illustrations, and/or graphics to the extent I have made them available; (b) to use, re-use, publish and republish the same in whole or in part, individually or in conjunction with any medium and for any purpose; (c) to copyright the same in the name of
UF4A.ORG an informational website; and (d) to use my name and my child’s name in connection therewith ONLY if I have stated my name and my child’s name in the “Background” portion of the above survey. I hereby consent to any publicity, including the use of my name and likeness to the extent I have made it available, in connection with my participation in the survey administered by
UF4A.ORG. I hereby release and discharge
UF4A.ORG an informational website, its officers, employees, agents and third parties from any and all claims and demands, but not limited to any claims for defamation or invasion of privacy, arising out of or in connection with the use or reproduction of such statements or images, regardless of the type of media in which they are presented. I am of legal age and have read the foregoing and fully understand the contents thereof.