LGC Breast Massage and Hand Expression Questionnaire
Objective: To evaluate the participant’s experience with breast massage and hand expression.
LiquidGoldConcept, LLC - Release Form
Permission for Use of Answers in LGC Breast Massage & Hand Expression Questionnaire.

For valuable consideration received, I, hereby irrevocably grant to LiquidGoldConcept, LLC, its subsidiaries, affiliates, nominees, licensees, their successors and assigns, and those acting with its authority (hereinafter collectively referred to as “LiquidGoldConcept”), with respect to the answers I wrote in the LGC Sim Model Questionnaire 2016 (the “Answers”) written by me, the unrestricted absolute, perpetual, worldwide right to:

(a) Reproduce, copy, modify, create derivatives in whole or in part, or otherwise use the Answers or any part thereof in combination with or as a composite of other matter, including, but not limited to, text, data, images, photographs, illustrations, animation and graphics, video or audio segments of any nature, in any media or embodiment, now known or hereafter to become known, for any purpose whatsoever, including commercial, and

(b) Display, perform, exhibit, distribute, transmit or broadcast the Answers by any means now known or hereafter to become known.

By clicking the 'yes' button below and submitting this completed form I hereby waive all rights and release and discharge LiquidGoldConcept from, and shall neither sue nor bring any proceeding against any such parties for, any claim, demand or cause of action whether now known or unknown, for defamation, invasion of right to privacy, publicity or personality or any similar matter, or based upon or relating to the use and exploitation of the Answers. I understand that my name will not be used and that the data will be de-identified. I certify that I am over the age of eighteen (18) years.

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