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By completing this form and checking the box below, I hereby grant CityStep.org, Inc. (“CityStep”) permission and hereby authorize CityStep to use my name and likeness, including but not limited to photographs, video recordings, or audio recordings, in any and all of CityStep’s publications, including but not limited to printed or electronic informational and promotional materials, printed or electronic media releases, social media posts, and CityStep’s website and archives, without payment or any other consideration. I hereby further authorize CityStep to edit, alter, copy, exhibit, publish or distribute such photographs, video recordings for any lawful purpose, including but not limited to publicity for CityStep or its programs. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph or video. I hereby hold harmless and release and discharge CityStep, as well as its directors, officers, employees, volunteers, agents, and other representatives, from all claims, demands, and causes of action which I, my representatives, or other persons acting on my behalf, may have a result of a) the use of such photographs, videos or recordings by CityStep, and b) the activities in which I am participating.