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I understand that through registration or participation in Walk With Me, any comments, narratives, depictions, film, photographs or audio-visuals shared by me or taken of me or any child I register or bring to the event who is under 18, testimonials or sound recordings made by Easter Seals, its respective employees and agents or other participants at the event may be used by Easter Seals, and those acting with its permission, for the purpose of illustration, broadcast, or testimonial in connection with any work of Easter Seals, and that these materials may be released to the general public.

These materials are owned by Easter Seals, may be copyrighted or modified by Easter Seals and may be used on an unlimited basis without any compensation or payment being made for any current or future use. Easter Seals does not need to submit these materials to me for further approval and may decide not to use them. I will allow Easter Seals, their respective employees and agents, and those acting with Easter Seals' permission, to use my protected health information, as defined under 45 C.F.R. 164.501, for the purpose of illustration, broadcast, or testimonial in connection with the work of Easter Seals and to release this information to the general public.

Easter Seals respects your privacy. Please visit Easter Seals privacy policy to learn how Easter Seals secures and uses your personal information.

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