Submit Your I Have Today Intention Statement!

I hereby grant Diane Forster, Inc, its directors, officers, employees, agents, and designees (collectively “Diane Forster, Inc”) non-revocable permission to capture and use my image and likeness in video. I further grant Diane Forster, Inc permission to copyright, display, publish, distribute, use, modify, print and reprint such video in any manner whatsoever related to Diane Forster, Inc business, including without limitation, publications, advertisements, brochures, web site images, or other electronic displays and transmissions thereof. I further waive any right to inspect or approve the use of the Video by the Diane Forster, Inc prior to its use. I forever release and hold Diane Forster, Inc harmless from any and all liability arising out of the use of the video in any manner or media whatsoever, and waive any and all claims and causes of action relating to use of the video, including without limitation, claims for invasion of privacy rights or publicity.

I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name or, if I am less than eighteen years old, that my parent or guardian has signed this release form below. This release is binding on me and my heirs, assignees and personal representatives.