Shawmut Aquatic Club

PICTURE CONSENT AND RELEASE

For value received, receipt of which is hereby acknowledged, I hereby irrevocably consent to and authorize the use by Shawmut and their assignees, customers, licensees, and those in contractual relationships with either of them, (collectively, the “Company”) of any and all photographs or digital pictorial representations (“Pictures”) taken of myself, and of any minors for whom I am responsible by Company, its agents and contractors, and any reproduction, modification, display, publication and distribution of them and any derivative works in any form and any media whatsoever throughout the world, in connection with the business of the Company, and to publicize, promote and advertise the business of the Company.

I hereby irrevocably waive any and all rights of privacy or publicity, or other rights of a similar nature in connection with the commercial exploitation of the Pictures, or any portion thereof, consistent with the terms of the foregoing consent or any advertising or publicity relating thereto. I also consent to the use of my own name and any such minor’s name and any fictitious name which may be chosen in connection with the Pictures. I also consent to the use of my signature and any such minor’s signature in connection with the above Pictures. I also waive any right to inspect and/or approve any such use of the Pictures. I expressly release and hold harmless the Company, its agents, employees, officers, directors and shareholders and those of its affiliates, customers, licensees, and those in contract with it of and from any and all claims, demands and liabilities by reason of their exercise of Company’s rights. I agree that the Company may alter, modify or combine the Pictures with other works, and I hereby waive any claim that any version of the Pictures portrayed consistent with the terms of the foregoing consent constitutes a distortion, mutilation or disparagement or contains unauthorized variations of the Pictures. I shall not have the right to approve or enjoin the use of the Pictures or to rescind any right granted to the Company hereunder.

The Company will have no obligation to use the Pictures. I understand that Company will use the Pictures in reliance on the above consent and release.

This document is governed by the laws of the Commonwealth of Massachusetts. There are no other agreements between Company and me oral or written relating to the subject matter of this document. Any modification of the terms hereof must be in writing and signed by Company and me.

If the Pictures depict a minor, I represent that I am authorized to sign on behalf of the minor who is identified below.

Date: ____________________________ Print Name of Minor: ________________________

Signature: _________________________

Print Parent’s Name: _________________________