Consent and Release

I hereby authorize the National Head Start Association, and its licensees, successors and assigns (collectively "NHSA") to republish the material I am submitting to the NHSA story database (Storybank Submission) and also to interview, photograph, film, and/or audiotape me, and to use the any photographs, video, audio, and interview information (hereafter, collectively "Materials") in any of its materials, including but not limited to publications, presentations, websites, social media, advertising, which NHSA determines advances its goals.

I also authorize NHSA to provide the Materials to other organizations, federal, or state officials, media organizations, and any other individual or organization which NHSA believes is acting to advance its goals.

If NHSA wishes that I participate in an event or a one-on-one interview, NHSA may contact me for permission and scheduling but I am under no obligation to participate in such opportunity.

I further understand and agree that I have no rights in the Materials, and that these Materials may be edited, used, published, distributed, republished and/or licensed by NHSA, now or at any time in the future, for the purposes set forth in above. I waive all right to inspect or approve the use of the Materials, now or in the future.

I understand and agree that I will receive no monetary compensation for my participation or for the use of these Materials.

I release and discharge any and all actions or claims which I, my family members, or my heirs may have against the NHSA, its officers, trustees, employees, contractors and/or agents, and any other third party contracting with NHSA, arising for any reason whatsoever from any use, publication, distribution, or republication of these Materials in accordance with this Consent and Release at any time now or in the future. I agree to defend, indemnify, and hold harmless NHSA, and its employees, directors, officers, contractors, professional advisors, assignees and agents, from and against any and all claims, demands, expenses, losses or liabilities including, without limitation, reasonable attorney’s fees arising out of or in connection with any breach, or alleged breach, of the terms of this Agreement.

I am above 18 years of age and understand and agree to the terms set forth above for myself or a minor on whose behalf I am submitting.