Photo Release Form
I do hereby authorize Generation Exchange and those acting pursuant to its authority to:
a. Record my participation and appearance on Videotape,
Audiotape, Film, Photograph or any other medium
b. Use my name, likeness and voice in connection with these recordings
c. Exhibit or distribute such recording in whole or in part without restrictions or limitation for any educational or promotional purpose which Generation Exchange and those acting pursuant to its authority deem appropriate.