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Media Release Form
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I, (name) _________________________________________________, hereby grant THE CHICAGO NETWORK, its agents and assigns (collectively referred to as “TCN”) the right to use and/or publish my name, likeness, persona, voice and biographical information (collectively referred to as “My Likeness”) without geographical limitation in all forms of communication (hereinafter referred to as “Content”) which TCN may use and or distribute in any and all forms of media, including digital media and internet, now known or hereafter devised.

I hereby acknowledge that TCN shall have the right to copyright such Content and other materials produced containing My Likeness. I acknowledge and agree that any and all such Content created are TCN’s sole and exclusive property and that TCN shall be entitled to all rights of ownership and all rights of copyright and copyright renewal therein in and to such Content.

I understand and acknowledge that I have no right to review and/or approve such Content created using My Likeness, nor do I have any right to such Content and/or materials.  However, I also acknowledge that this Release is being freely given with the understanding and representation from TCN that neither My Likeness nor such Content shall be used in whole or in part for advertising or commercial purposes other than for the benefit of TCN and its Not-for-profit alliances.  I additionally acknowledge that nothing herein will constitute any obligation on TCN to actually use My Likeness in any way including in any such Content.

I acknowledge that TCN may rely upon this Release in preparing and distributing such Content created, and TCN shall have the right to assign this Release. I also acknowledge that TCN may be incurring expenses in reliance of this Release, I therefore represent and warrant that I will not have the right to revoke the rights granted hereunder.

By signing this Release, I hereby warrant and represent that I have the authority to give the permission granted in this Release.  I understand that under no circumstances shall I have any right to maintain (and I hereby agree to waive) any cause of action against TCN or its assigns by virtue of the terms of this Release, or anything done pursuant to it.  I acknowledge that this Release contains the entire agreement and understanding between the parties concerning the subject matter hereof.  I further acknowledge that this Release will be governed by and construed according to the laws of the State of Illinois.



















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