I hereby authorize GNPI-Africa the right and permission to copyright and/or publish, reproduce or otherwise use my name, voice, and likeness in video, photographs, written materials, and audio-visual recordings. I acknowledge and understand these materials about
or of me may be used for both non-commercial purposes.

I understand that my image may be edited, copied, exhibited, published and/or distributed. I also understand this material 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 acknowledge and grant GNPI-Africa and its employees, agents, licenses, successors, and third-party organizations all ownership rights and the irrevocable right and permission to use, copyright, publish, distribute, and/or promote the recorded video, photo,
interview, and/or audio.

I understand my participation is voluntary and that I may, at any time, discontinue my involvement before signing this document. If I choose to discontinue participation, I will notify the principal parties at GNPI-Africa by providing written notice before the recording. I understand that GNPI-Africa can see no risk presently, and that I take full responsibility for my involvement in this project and the risks that it may entail (be they legal, physical, or mental) and release GNPI-Africa from any claims, demands, losses, damages, suits, and
liabilities of any kind whatsoever in connection with the foregoing.

I hereby certify that I am over eighteen years of age and I 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 signing below.

By signing this form, I acknowledge that I have completely read and fully understand the above consent and release and agree to be bound thereby. I hereby release any and all claims against GNPI-Africa for utilizing this material for marketing, educational, promotional, and/or any other lawful purpose whatsoever.



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