Photo Waiver – Juniors Fore Goryeb

I hereby grant to Atlantic Health System my consent to publish, republish, reproduce, use or reuse the photographs and/or other audiovisual recordings and/or information obtained, including but not limited to my: M name; M likeness (still or video image); M biographical information; and/or M other information which may identify me to the public, in television, newspapers, journals, periodicals, web, publications, social media, and other exhibition or public media for any purpose and for use in internal communications, publicity, marketing and advertising in all media. I hereby waive all rights that I may have to any claims for payment of money or royalties in connection with any publication, exhibition, televising or other showing of the above, regardless of whether it is under philanthropic, commercial, institutional, or private sponsorship, and regardless of whether a fee is charged in connection therewith.