Take the LEAP Registration

I acknowledge that the photographs and videos featuring me are being produced and owned by the Mosaic Life Care Foundation. I understand that my participation may be edited and used, in whole or in part, at the Foundation’s discretion. This includes reproduction, duplication, and utilization for various purposes such as non-theatrical audiovisual presentations, public relations, fundraising, and general education. I also consent to the use of my likeness and voice for all the purposes mentioned above, through traditional print, radio, television, and online media platforms, for an indefinite period. I hereby release and waive any claims or rights to compensation or ownership regarding these uses, and I understand that all recordings will remain the property of emPowerU and the Mosaic Life Care Foundation.