Media Release Guidelines

I grant permission to Cynergy Rehab Group, to use my child’s image (photographs and/or video) for use in Media publications including, but not limited to:

• Brochures/Flyers
• Social Media Pages
• Websites
• Advertisements

I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.

I have read this release and fully understand 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.