Hispanic Association on Corporate Responsibility

Consent and Release

I, the undersigned, hereby voluntarily agree to participate in one or more events (collectively, the “Event”) sponsored by the Hispanic Association on Corporate Responsibility (“HACR”) and to the filming and/or recording thereof and broadcasting and/or distribution of the same, and to the use of any materials (e.g. photos, videos, presentations) provided by me in relation thereto, all as further set forth herein.

In connection with, and in consideration of my participation in, the Event, I hereby give HACR and those acting on its behalf, authority, consent and permission to:

record and/or reproduce my appearance, image, silhouette, voice and/or any other aspect of my physical likeness, as well as any materials provided by me, if any, in whole or in part, on film, video tape, audio tape, photograph, online and/or any other medium or platform, and use my name and/or any other biographical or personally-identifying information, for, or in connection with, any such recording, and copyright any such recording, and any materials related thereto, in the name of HACR  and otherwise use, reuse, copy, edit, revise, produce, publish, display, exhibit, broadcast, distribute, sell, license and promote any such recording, and any materials related thereto (including any materials provided by me), in whole or in part, anywhere in the world, in any medium or platform now known or hereafter discovered, for any purpose which HACR and those acting on its behalf, may deem appropriate.

With the intention of binding myself, and my heirs, assigns, and legal representatives, I hereby WAIVE AND RELEASE any and all rights and claims which I may have, now or in the future, against HACR and its officers, employees, members, agents and representatives, for any and all damages or injuries of whatever kind suffered by me in connection with my participation in the Event, any recording thereof, any use of any such recording, and the other matters set forth herein, except for those arising out of the willful misconduct, gross negligence or intentional torts of the above parties. Without limiting the foregoing, I  also hereby WAIVE AND RELEASE any right that I may have, now or in the future, to inspect and/or approve any recording of the Event, and/or any materials related thereto.

I hereby represent and warrant that my presentation and presentation materials, if any, will not infringe upon the rights of any other party. I also hereby represent and warrant that I am eighteen years of age or older and have every right to contract in my own name in the above regard. I state further that I have read the above consent and release, prior to its execution, that I understand and am fully familiar with the contents thereof, and that the same shall be governed by, and construed in accordance with, the laws of the District of Columbia.

                                                           ______________

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