I understand that the photographic image(s), video(s), and/or audio recording(s), in which I am a participant/subject, is(are) being produced and owned by Mosaic Life Care Foundation. I hereby acknowledge that my participation may be edited and used in whole or in part as desired in any way by the Foundation including, but not limited to, being reproduced, duplicated, and used for non-theatrical audiovisual informational, public relations, fund development, and general education purposes. I also consent to the use of my likeness and voice for all purposes listed above in connection with the images and audiovisuals through traditional print, radio, television and/or online media platforms for an indefinite period of time.

I understand that my signature indicates that I have read, understand and approve of this photo release agreement.