Media Consent Form

For valuable consideration, the receipt and adequacy of which I acknowledge, I irrevocably give to AT&T Services, Inc., its advertising and promotion agency, The Marketing Arm Inc., and their parent companies, subsidiaries, affiliates, related companies and any of its legal representatives, agents, licensees, permittees or assigns (“AT&T”), the perpetual, worldwide, non-exclusive license, right and to use in any form or fashion, including, but not limited to, advertising, publicity and all other purposes deemed appropriate by AT&T, my submitted writing, photo, or video, including any other content, images, graphics, captions and descriptions submitted in connection with the AT&T Photo Mosaic, as well as my name, signature, picture, image, likeness, voice, poses, plays, appearances, movements, or any other indicia of my identity or activity of any nature created, depicted, captured or recorded by or at the direction of AT&T (collectively, “Materials”) in or in connection with any and all media of any kind and nature now known or developed in the future (collectively “Media”), for any purpose, in any manner, without further notification, authorization or compensation to me or anyone acting on my behalf. I understand that AT&T may use all Materials at its sole discretion and that I do not have any right to inspect or approve the use of the Materials in any Media. AT&T may transfer all of the rights granted by this Media Consent and Release Form. I further release AT&T from any liability associated with the Materials or AT&T’s use of the Materials in any Media.

I am over eighteen (18) years of age (nineteen in Alabama and Nebraska; twenty-one in Mississippi and I have full legal capacity to grant this consent and release, and have read and understood the above consent and release prior to its execution. I represent and warrant that (a) I own all rights, including the copyright, in any image, video, or other content or Materials that I have submitted; (b) this license does not and will not violate or infringe upon the rights of any third party and entity; and (c) this license does not in any way conflict with any existing commitment on my part.

This release is made on behalf of myself, my heirs, executors, administrators and assigns and is to be governed in accordance with the substantive laws of the State of Texas without regard to the state’s conflict of laws rules.

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