Share Your Story Terms

For good and valuable consideration herein acknowledged as received, including the potential to be featured in materials designed by the Children’s Environmental Health Network (“CEHN”), I have willingly and voluntarily provided the materials and information hereby submitted (“Submitted Materials”) and hereby grant to CEHN an unrestricted, irrevocable, royalty-free, world-wide, and assignable license and right to use, reproduce, publish and/or broadcast the Submitted Materials in any media, and to edit and make derivative works including or based on the Submitted Materials. This license includes the right to use my name, image, likeness, voice, statements and biographical materials, as well as my photographs, and/or artwork in any way, including in advertising and publicity, and in video or audio recordings, on the Internet and in other media, without any additional financial compensation. I acknowledge that CEHN, in its discretion, may choose not to use any of the Submitted Materials. I hereby waive any right that I may have to inspect or approve the finished product, or any advertising copy or other matter using any of the above rights.

I represent that I have the right and authority to grant the above rights, and that the Submitted Materials, including any artwork or photographs, are original to me and do not infringe on any third party rights, and that no third party is required to provide permission for their use. I also represent that I have the written permission to use the names of anyone mentioned in the material, and that the Submitted Materials do not violate anyone’s privacy or other legal rights. I hereby release, discharge and agree to hold harmless and to indemnify CEHN, and CEHN’s officers, employees, Board Members, and representatives,  from any and all claims, losses, costs arising out of, or resulting from, my providing the Submitted Materials, or by virtue of any use of said materials, as well as any publication thereof, including without limitation any claims of copyright infringement, rights of publicity, defamation or invasion of privacy, other assertion of intellectual property rights, and including, but not limited to direct, indirect, incidental, special, consequential or punitive damages, even if CEHN is aware of the possibility of such damages.

I certify I am over 18 years old. I understand that this is a binding contract, that I have read it and understand its terms and conditions, and agree to be bound by them.