This Release Form is entered into by the undersigned (“Releasor”) and CuraAd Marketing Group (“Agency”) on behalf of Dr. Keila Hoover, Premium Healthcare, and all its affiliates (“Client”).
1. Authorization to Use Likeness
The Releasor grants the Agency, the Client, and their affiliates, representatives, licensees, and assigns the irrevocable right to use the Releasor’s image, likeness, and video testimonial (“Material”) in any form of media, including but not limited to social media platforms, websites, advertisements, and promotional materials, at the discretion of the Agency and Client.
2. Privacy Protection
The Agency agrees to maintain the privacy of the Releasor by not disclosing the Releasor’s name or any personal information in connection with the use of the Material. Only the Releasor’s image and likeness will be used.
3. Compensation
In exchange for the Releasor’s participation and permission to use the Material, the Releasor will receive an undisclosed amount of compensation. The Releasor acknowledges that this compensation is fair and adequate consideration for the rights granted under this Release Form.
4. Scope of Use
The Material may be edited, altered, or modified in any manner deemed appropriate by the Agency and Client. The Material may be used in perpetuity, worldwide, and across all media now known or hereafter developed.
5. No Further Claims
The Releasor acknowledges that the Material will be used at the sole discretion of the Agency and the Client, and the Releasor shall have no further claims to the Material or any profits derived therefrom.
6. Governing Law
This Release Form shall be governed by and construed in accordance with the laws of the State of Florida.
7. Entire Agreement
This Release Form constitutes the entire agreement between the parties and supersedes any prior understandings or agreements, whether written or oral, regarding the subject matter of this Release Form.
8. Signature
By signing below, the Releasor acknowledges that they have read and understood this Release Form and agree to be bound by its terms.
