Photograph and Publicity Release Form

    I, , give the HERO Wellness Systems Inc. and its fiscal agent, Sustainable Projects Group Inc. (SPGX), permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of HERO Wellness Systems Inc. and SPGX activities.

    I agree that the HERO Wellness Systems Inc. and SPGX have complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with the HERO Wellness Systems Inc. /SPGX missions. These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet. I acknowledge that I will not receive any compensation, etc. for the use of such pictures, videos, etc., and hereby release HERO Wellness Systems Inc. / SPGX and its agents and assigns from any and all claims which arise out of or are in any way connected with such use.

    I have read and understood this consent and release.

    I give my consent to the HERO Wellness Systems Inc. and SPGX to use my name and likeness to promote the HERO Wellness Systems Inc. programs, products, its fiscal agent, and/or their activities.I do not give my consent to the HERO Wellness Systems Inc. and SPGX to use my name and likeness to promote the HERO Wellness Systems Inc. programs, products, its fiscal agent, and/or their activities.


    Signature

    Parent / legal guardian (if age 17)


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