For good and valuable consideration, receipt of which is hereby acknowledged, I authorize The Connecticut Humane Society and its licensees, designees, assignees, subsidiaries or affiliated entities and each of their respective employees, agents, representative, officers and directors (collectively “Releasees”) to make use of my appearance for the following: Connecticut Humane Society print or electronic media as indicated below.

I agree that you shall be the exclusive owner of the results and proceeds of such photography. I agree that Releasees have the right, to use, in any manner, all or the above designated portion thereof or a reproduction thereof in connection with the website, Pet Life or otherwise; any use by Releasees may be made throughout the world, an unlimited number of times in perpetuity, for any purposes whatsoever, in medium now or hereafter in existence, and Releasees may license it to others.

I further agree that Releasees may use and license others to use my name, my pet’s name, my likeness, my pet’s likeness, my image, my pet’s image and any biographical material concerning me or my pet which I may provide, in any and all media and in the promotion, advertising, sale, publicizing and exploitation of the website and Pet Life and/or otherwise and ancillary products in connection with the website and Pet Life and in connection with the Connecticut Humane Society, throughout the world in all media, an unlimited number of times in perpetuity. I further represent that any statements made by me during my appearance are true, to the best of my knowledge, and that neither they nor my appearance will violate or infringe upon the rights of any third party.

I hereby expressly agree that the terms of this Release are contractual and not a mere recital and that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Connecticut, and that if any portion thereof is held to be invalid, the balance shall, notwithstanding, continue in full legal force and effect.

I have carefully read the forgoing Release and understand the contents thereof. I hereby waive any right of inspection or approval of my appearance or the uses to which such appearance may be put. I acknowledge that you will rely on this permission potentially, at substantial cost to Releasees and hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.