CONSENT AND RELEASE

For good an valuable consideration, the receipt and sufficiency of which is hereby acknowledge:

The undersigned (“I” or “me”), being competent and of legal age, hereby consents, authorizes and grands Florida Technical College, its parents, subsidiaries, affiliates, licensees, designees, predecessors, successors and assigns, and their respective parents, subsidiaries, affiliates, agents, employees, predecessor, successors and assigns, and anyone authorized by any one of them (collectively, “FTC”) the right, license and permission to use my name, image, likeness, voice, statements, actions and/or biographical material for any purpose and in any manner whatsoever as FTC so chooses in any and all media, now known or hereafter devised, in perpetuity, as well as for advertising, marketing, publicity and promotion. Any films, audiotapes, videotapes, photographs, other recordings or reproductions of my name, image, likeness, voice, statements, actions and/or biographical material may be used as recorded, in whole or in part or may be edited (as determined solely by FTC, or its representatives). However, FTC has no obligation to use name, image, likeness, voice, statements, actions and/or biographical material.

I hereby waive any right, which I may have to inspect or approve the use of my name, image likeness, voice, statements, actions and/or biographical material. I agree that any materials created or produced under this agreement are the sole property of FTC and its representatives, and that FTC does not owe me any compensation should it choose to use my name, image likeness, voice, statements, actions and/or biographical material.

I hereby release and forever discharge FTC and its officers, directors, shareholders, representatives, agents, successors and assigns, and anyone authorized by any of them, from any and all rights, claims, payments, demands, damages, and actions (including negligence), whether accrued or unaccrued, known or unknown, which I my heirs, executors or assigns may have in connection with the use of my name, image likeness, voice, statements, actions and/or biographical material in any and all media. I agree to indemnify and hold harmless FTC and its officers, directors, shareholders, representatives, agents, successors and assigns, and anyone authorized by any of them, from and against any liabilities, losses, claims, demands, actions, costs (including without limitation attorney’s fees) and expenses arising from any breach or alleged breach of the above terms and provisions contained herein.

This release constitutes our entire understanding and agreement with respect to the subject matter hereof and cannot be amended except in written document signed by both parties. This release will inure to the benefit of and will be binding on our respective affiliates, successors, licensees, assigns, heirs and representatives.

By signing my name, I acknowledge that I have carefully read, or have had read to me, this agreement and understand that it is both a consent to use and a complete release of the above-described claims.