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The undersigned hereby irrevocably consents to and authorizes the use by NS Cares, Inc., its officers, board members, trustees, agents, employees, and volunteers (collectively “NS Cares”) of the undersigned’s image, voice and/or likeness as follows: NS Cares shall have the right to photograph, publish, re-publish, adapt, exhibit, perform, reproduce, edit, modify, make derivative works, distribute, display or otherwise use or reuse the undersigned’s image, voice and/or likeness in connection with any product or service in all markets, media or technology now known or hereafter developed in NS Cares ‘s products or services, as long as there is no intent to use the image, voice and/or likeness in a disparaging manner. NS Cares may exercise any of these rights itself or through any successors, transferees, licensees, distributors or other parties, commercial or nonprofit. In addition, you consent to and authorize NS Cares to use the voluntarily-provided personal information you provided below to contact you via phone, fax, e-mail, or regular mail to provide you with information that we believe may be of interest to you. The undersigned acknowledges receipt of good and valuable consideration in exchange for this release, which may simply be the opportunity to represent NS Cares in its promotional and advertising materials as described above.