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2024 Associate & Non-Resident Form

I hereby irrevocably and unconditionally consent to the unrestricted use by Life Enriching Communities and its affiliated entities, officers, directors and employees (collectively “LEC”), their respective successors, assigns, agents and others authorized by LEC, of the following for advertising, publicity and other purpose in connection with trade or commerce, including without limitation LEC websites and/or social media applications and without any geographical limitation or any limitation as to the frequency of use:
(1) my name;
(2) my picture(s), portrait(s) and likeness(es), and any part or parts thereof, in any form, including the production of a videotape or film, whether retouched, modified, superimposed or otherwise;
(3) my statement(s) made or with such changes in language as do not materially change the substance of such statement(s).

I hereby waive any right to compensation and any right that I may have to inspect or approve any use or application of said material and I hereby release LEC and all persons acting by its authority from any or all claims and liabilities of any kind by reason of such use or application.

I represent and warrant that I have every legal right to give this release and that it does not in any way conflict with any existing commitments or other representations on my part. I also understand that LEC may decide not to, and is under no obligation to, use any of the material covered by this release and may elect not to exercise its rights hereunder.

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July 9, 2024 11:03 am EDT

2024 Associate & Non-Resident Form Uploaded by Janelle Behm - mktrequest@lec.org IP 192.24.138.188