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Photo Consent for HackensackUMC Mountainside 125 Year Birthday Celebration

I, the undersigned, do hereby consent to the use, by HackensackUMC Mountainside, of my image for the 125 Year Hospital Birthday Celebration.

I understand that I will not have the option to approve the final photograph, video, recording or news article before it is published or broadcast and that other news media may reprint or rebroadcast the information I am releasing following the initial publication or broadcast. I understand that, once used, I will not be able to rescind consent. I understand that HackensackUMC Mountainside has no control over what is actually published or broadcasted by independent news media outlets.

In addition, I waive all claims to compensation or damages based on the use of my image or both by HackensackUMC Mountainside. I also waive any right to inspect or approve the finished photograph.

I agree that all such portraits and pictures, photographs, any reproductions thereof, and all plates, negatives and digital files shall remain the property of HackensackUMC Mountainside, unless otherwise noted.

I understand that this consent is perpetual, that I may not revoke it, and that it is binding on my heirs and assigns.

I warrant that I am at least 18 years of age and that I am competent in my own name insofar as this consent is concerned. I further attest that I have read this consent form and fully understand its contents.

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