I hereby irrevocably grant in perpetuity to Carrie Outhier Banks, PhD, her legal representatives or assigns, affiliates and those acting under her permission and upon her authority, or those for whom Carrie Outhier Banks, PhD is acting, the absolute right and permission to:

copyright, use, re-use, publish and republish, and to license the right to use, re-use, publish and republish my testimonial (written) and edit such testimonial in its sole discretion, in any medium or form of distribution without restriction as to changes or transformation in conjunction with my own or a fictitious name, made through any and all media now or hereafter known for any purposes whatsoever, including, without limitation, illustration, art, promotion, advertising or trade.

It is my understanding that I will receive no compensation for my likeness or testimonial.

I hereby waive any right that I may have to inspect and/or approve the finished product or the advertising copy or printed matter that may be used in connection with my likeness or testimonial or the use to which it may be applied. I agree that I have no rights to the photographs, reproductions, negatives, videos or films, and all rights to such materials belong to Carrie Outhier Banks, PhD.

I hereby release, discharge and agree to hold harmless Carrie Outhier Banks, PhD. and her assistants or agents, affiliates, legal representatives or assigns and all persons acting under its permission or upon its authority or for whom it is acting, from any liability by virtue of any publication of my likeness or testimonial, including, without limitation, claims for libel, invasion of privacy or copyright infringement.

I hereby warrant that I am of full age and have every right to contract in my own name in the above regard. I state FURTHER that I have read the above AUTHORIZATION and release prior to its execution, and that I am fully familiar with the contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and assigns.

carrie outhier banks

Consent and Release Agreement...