I grant permission to Henzoll Pty Ltd and its videographer and photographer or employees to use photographs and/or video and audio taken of me.

These images and/or video and audio may be used as part of a branding campaign. This may be printed and included in our social channels and newsletters.  Furthermore, I authorise the use of my image, likeness, and voice for all promotional uses, materials, and any other purposes in connection with the program deemed appropriate and necessary by Henzoll Pty Ltd.

I hereby agree to release, defend, and hold harmless Henzoll Pty Ltd and its agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper, via electronic media, or on Web sites, from any claim, damages, or liability arising from or related to the use of the photographs/video, including but not limited to any misuse, distortion, blurring, alteration, optical illusion, or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction, or production of the finished product, its publication, or distribution.

I am 18 years of age or older and have read this release before signing below, fully understanding the contents, meaning, and impact of this release.  I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.