Media Release Form

I hereby authorize.and grant Cover Story Media, Inc., permission to publish any photograph, video, or other digital image or media of me (the “media”) provided by me or taken of me by Cover Story Media, and authorize and grant permission to Cover Story Media Inc., to use the media in any and all of its publications and/or marketing communications.

I release and hold harmless Cover Story Media, Inc. from any reasonable expectation of privacy or confidentiality associated with the use of the media(s) provided.

I further acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publishing of the media or participation in Cover Story Media, Inc. marketing materials or other publications.

I acknowledge and agree that publication of the media confers no rights by me of ownership or royalties whatsoever.

I grant permission to Cover Story Media, Inc. to edit, alter, copy, exhibit, publish, or distribute the media and waive any right to inspect or approve the finished product wherein the media appears.

I release Cover Story Media, Inc. its contractors, employees, and any third parties involved in the creation of publication of marketing materials from liability for any claims by me or any third party connection with my participation.

BY TYPING MY NAME BELOW I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE MEDIA RELEASE.