For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I, the undersigned, hereby grant to National Domestic Workers Alliance (“NDWA”) and Care in Action (“CiA”) and its successors, assigns and licensees (collectively, the “Licensed Parties”) the right to photograph, audiotape and/or videotape me at mutually agreed upon times and locations, and the right to use my name, voice, appearance, image, likeness, biographical information about me and statements that I have made (collectively, the “Materials”) in any manner that supports the mission of NDWA/CiA, in any form or media, now known or hereafter devised, in all languages in perpetuity.

I understand that I have no ownership rights in the Materials or in the work product that contains the Materials. I also understand that the Licensed Parties have no obligation to use the Materials or any of the rights set forth herein. I waive and release any claims that I may have against the Licensed Parties and their officers, directors, employees and agents based upon or arising from such uses as authorized herein, including without limitation, any moral rights of whatsoever description, any right to inspect or approve the references to me or the use of the Materials, any claims for invasion of privacy, violation of the right of publicity, defamation, and copyright infringement or for any fees for such use.

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