I, for myself and for my respective heirs, executors, administrators and assigns, in consideration of zero dollars and other good and valuable consideration, the receipt and sufficiency whereof is hereby acknowledged, do hereby give full right and permission to Hawaii Children’s Action Network to use my likeness, voice and/or name; photographed, taped, recorded or otherwise memorialized.  I release, acquit and forever discharge Hawaii Children’s Action Network, it’s board members, officers, employees, agents and those acting on behalf of Hawaii Children’s Action Network, from any or all claims, actions, causes of action and liabilities, of whatsoever kind or nature, arising out of any use of my likeness, voice and/or name; photographed, taped, recorded or otherwise memorialized, for advertising, publicity, trade or any other lawful purpose, in any medium now known or hereafter to be developed.

This release is not a contract of employment.  I recognize that I assume any risk involved with the activity that is photographed, taped, recorded or otherwise memorialized and that I am responsible for any injury or damage directly or indirectly arising out of such activity and I hold Hawaii Children’s Action Network, their board members, officers, employees, agents, and those acting on behalf of Hawaii Children’s Action Network harmless from any and all liability.

I waive any right I may have to inspect and approve the finished product or such written or spoken copy that may be used in connection therewith, the use to which it may be applied.

I am above 18 years of age and understand and agree to the terms set forth above for myself or a minor on whose behalf I am submitting.