General Release Form

Photography, Videography and Audio Talent Release

Subject: Alaska Academy of Physician Assistant Photography Submission via www.akapa.org

I hereby grant to Gonzalez Marketing LLC and The Alaska Academy of Physician Assistants the exclusive right to use photo and video images and audio obtained through online submissions to www.akapa.org for commercial use. Subject acknowledges that the depiction of him in photo, video and audio may be duplicated and distributed in any and all manner and media throughout the world in perpetuity.

Subject grants Gonzalez Marketing LLC and The Alaska Academy of Physician Assistants the exclusive right, license and privilege to utilize the names, characters, artist's portrayal of charac-ters, likeness, and visual representations in the Photo, Video and Audio in connection with the manufacture, advertising, distribution and sale of any motion pictures, articles or products. Such granted rights include the unconditional and exclusive right throughout the world to use, simulate and portray subject's likeness, voice, personality, personal identification and personal experiences, incidents, situations and events which heretofore occurred or hereafter occur (in whole or in part) in any and all other media of any nature whatsoever, whether now known or hereafter devised. Sub¬ject agrees that Gonzalez Marketing LLC and The Alaska Academy of Physician Assistants may elect to refrain from using subject's real name and may use a pseudonym.

Subject hereby releases and discharges Gonzalez Marketing LLC and The Alaska Academy of Physician Assistants, their employees, agents, licensees, successors and assigns from any and all claims, demands or causes of actions that it may have or may from now on for libel, defamation, invasion of privacy or right of publicity, infringement of copyright or trademark, or violation of any other right arising out of or relating to any utilization of the rights granted under this agreement.

Subject warrants and represents that Subject possesses all rights necessary for the grant of this license, and will indemnify and hold Gonzalez Marketing LLC and The Alaska Academy of Physician Assistants, their licensees and assigns, harmless from and against any and all claims, damages, liabilities, costs and expenses arising out of a breach of the foregoing warranty.

Subject agrees that Gonzalez Marketing LLC and The Alaska Academy of Physician Assistants shall have the unlimited right to vary, change, alter, modify, add to and/or delete from his depiction in the photo, video and audio, and to rearrange and/or transpose his depiction, and to use a portion or portions of his depiction or character together with any other literary, dramatic or other material of any kind.

Subject has not committed or omitted to perform any act by which such rights could or will be encumbered, diminished or impaired; Subject further represents and warrants that no attempt shall be made from now on to encumber, diminish or impair any of the rights granted herein and that all appropriate protection of such rights will continue to be maintained by Subject.

All rights, licenses and privileges herein granted to Gonzalez Marketing LLC and The Alaska Academy of Physician Assistants are irrevocable and not subject to rescission, restraint or injunction under any circumstances. Nothing herein shall be construed to obligate Gonzalez Marketing LLC and The Alaska Academy of Physician Assistants to produce, distribute or use any of the rights granted herein.

This agreement shall be construed according to the laws of the State of Alaska applicable to agreements which are executed and fully performed within said State. This agreement contains the entire understanding of the parties relating to the subject matter, and this agreement cannot be changed except by written agreement executed by the party to be bound.