I (the “Patient”) hereby grants to the American Orthopaedic Foot & Ankle Society, and its subsidiaries, affiliates, assigns, successors, and those acting for or on their behalf (AOFAS), a non-exclusive, unrestricted, perpetual, irrevocable, royalty-free, worldwide license to use my name, voice, biographic data, photographs, images, motion pictures, or likeness, and any statements made by me, either alone or accompanied by other persons or material, in any manner, throughout the world without further consent from me and without payment of any fees or other consideration to me, for all types of communication or promotion in any medium now known or hereafter developed.
I hereby irrevocably grant AOFAS the unrestricted right to take, create, develop, or obtain photographs, pictures, videos, audio, and other depictions of myself, my name, persona, likeness, biographical data, voice, words, quotations or actions in which I may be included in whole or in part (the “Content”).
I hereby waive any right of privacy and/or publicity that I may have and all so-called “moral rights” and similar rights throughout the world with respect to the Content and the use thereof, and any right that I may have to inspect or approve of any recording or finished material used in connection with the Content.
If applicable, I consent to the AOFAS use of the content of or relating to my ward or minor child and do hereby certify that I am the parent or guardian of such Minor.
I also grant AOFAS the right to use, adapt, modify, reproduce, distribute, publicly perform, and display my Content, provided that AOFAS will not intentionally or negligently edit or change the Content in a manner so as to materially disparage or defame or materially depict my statements inaccurately. I agree to execute and deliver to AOFAS, without expense to me, any and all additional documents and perform any further acts necessary to vest in AOFAS the rights hereby conveyed. On behalf of myself and my heirs, and, if applicable, on behalf of the minor, I expressly release and hold AOFAS harmless from and against all claims, losses, expenses and liabilities of any kind, including reasonable attorneys’ fees, arising out of use of the rights I have granted, including the taking, reproduction and/or use of any such Content as permitted hereunder, in any medium including, but not limited to, presentation in print, on television, on the internet, or in any other manner of media now known or hereafter developed.
I am over the age of twenty-one (21) and have every right to contract in my own name or, if I am not over the age of twenty-one (21) or am not otherwise competent to contract in my own name, my parent or legal guardian has the right to and has agreed to the provisions herein on my behalf. If the Patient is under the age of twenty-one (21) or is not otherwise competent to contract in their own name, the person whose signature appears as “Parent or Legal Guardian” certifies that they are the parent or legal guardian of the Patient whose name and contact information appears below and that they have the right to contract on the Patient’s behalf. Such parent or legal guardian agrees to indemnify and hold harmless AOFAS with respect to any claims that such patient may make as a result of the exercise by AOFAS of its rights explained here.