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consent, license, and release agreement

I, the undersigned, hereby grant my permission and consent to the Penn State Anuncia Donecia Songsong Manglona Lab for Gender and Economic Equity (“Manglona Lab”) and its affiliates, faculty, students, agents, and employees (together, “Manglona Lab Representatives”) to photograph, video record, or audio record me.

I hereby grant an irrevocable, world-wide, royalty-free right and license to Manglona Lab and Manglona Lab Representatives to utilize, adapt, modify, reproduce, distribute, publicly perform and display the photographs, video, and/or audio (collectively “Media”) taken of me for use in promotional, educational, informational, advertising or commercial materials and communications in any form now known or later developed, including but not limited to publications, websites, articles, brochures, books, magazines, newsletters, exhibits, videos, films, social media, advertisements, and training programs (collectively “Materials”). Furthermore, I hereby authorize and consent to the use of my name, image, likeness, and voice (collectively, “Likeness”) in the Media for all Materials or any other purposes deemed appropriate by Manglona Lab.

I hereby waive any right to be notified or to inspect or approve the Media or any Materials that are created using my Likeness, now or in the future, whether that use is known or unknown to me. I hereby waive any right to royalties or other compensation arising from or related to the use of the Media or Materials. I hereby release and hereby agree to indemnify and hold harmless Manglona Lab, Manglona Lab Representatives, and their licensees and assigns for any and all claims that I or any third party may have now or in the future for invasion of privacy, right of publicity, copyright infringement, defamation, or any other cause of action arising of the use, utilization, adaptation, modification, reproduction, distribution, public performance or display of my Likeness in the Media or Materials. In accordance with this complete release of all rights in my Likeness used in the Media and Materials, I hereby waive any and all claims, damages, or liability arising from or related to the use of the Media, including but not limited to any misuse, distortion, blurring, alteration, optical illusion, or use in composite form, either intentionally or otherwise, of my Likeness that may occur or be produced in taking, processing, reducing, adapting, modifying, producing, reproducing of the Media and Materials and their publication, distribution, display or performance.

I understand and agree that Manglona Lab is and shall be the exclusive owner of all right title and interest, including any copyright, in the Media and Materials.

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