By typing my full name and submitting my information and resume in the form provided, for valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby grant NeuroTalent Works, Inc., a California Domestic Nonprofit Corporation, its parents, subsidiaries, agents, employees, successors, assigns, and anyone authorized by any of them (collectively "NeuroTalent Works"), the unrestricted and irrevocable right and permission to copyright and renew such copyright and/or publish, reproduce, exhibit, distribute, and otherwise use, separately or together, my name, image, voice, likeness, statements, testimonials, endorsements, and/or biographical materials (collectively, my "Likeness"), in whole or in part, edited or unedited, in any and all media including, but not limited to, in video, photographs, written materials, on websites, and audio-visual recordings in connection with NeuroTalent Works' services and activities ("Media").

This grant includes, without limitation, the right to use, reproduce, publish, exhibit, and distribute over the Internet or otherwise, any Media containing my Likeness for the purpose of promoting, explaining, or highlighting the activities and services of NeuroTalent Works for both commercial and/or non-commercial purposes.

I understand that my Likeness may be edited, copied, exhibited, published, and/or distributed. I also understand the Media may be used individually or in conjunction with other media in any medium, including without limitation to print publications, digital publications, and/or public broadcast for any lawful purpose. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.

I hereby release and agree to hold harmless NeuroTalent Works from any and all claims of any kind which I, my heirs, executors or assigns may have on account of the granting of the rights set forth herein or any use of my Likeness and/or Media referred to herein (including without limitation what might be deemed to be misrepresentations of me, my character or my person due to distortion, optical illusion or faulty reproduction which may occur in the finished product).

I hereby waive any right I may have to inspect or approve any publication or distribution of the above mentioned use of my Likeness.

I hereby certify that I am over eighteen years of age, have every right, and am competent to contract in my own name insofar as the above is concerned. If I am under eighteen years of age, my parents or legal guardians have read this document and have given their consent by electronically signing the form.

I state further that I have read, or have had read to me, this release and authorization prior to execution by typing my name in the form provided and that I am fully familiar with the contents hereof.