I authorize Flat Track Canada Inc. to use the following personal
(1) My picture including photographic, motion picture, and
electronic (video) images.
(2) My voice including sound and video recordings.
I hereby grant to Flat Track Canada Inc. its subsidiaries, licensees, successors and assigns, the
right to use, publish, and reproduce, for all purposes, my name, pictures of me in film or
electronic (video) form, sound and video recordings of my voice, and printed and electronic
copy of the information described in sections (1) and (2) above in any and all media including,
without limitation, cable and broadcast television and the Internet, and for exhibition,
distribution, promotion, advertising, sale, press conferences, meetings, hearings, educational
conferences and in brochures and other print media. This permission extends to all languages,
media, formats and markets now known or hereafter devised. This permission shall continue
forever unless I revoke the permission in writing.
I further grant Flat Track Canada all right, title, and interest that I may have in all finished
pictures, negatives, reproductions, and copies of
the original print, and further grant Flat Track Canada Inc. the right to give, sell, transfer, and exhibit the print in copies or facsimiles thereof, for marketing, communications, or advertising purposes, as it deems fit.
I hereby waive the right to receive any payment for signing this release and waive the right to
receive any payment for Flat Track Canada Inc. use of any of the material described above
for any of the purposes authorized by this release. I also waive any right to inspect or approve
finished photographs, audio, video, multimedia, or advertising recordings and copy or printed
matter or computer generated scanned image and other electronic media that may be used in
conjunction therewith or to approve the eventual use that it might be applied.