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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 Easterseals, its respective employees and agents or other participants at the event may be used by Easterseals, and those acting with its permission, for the purpose of illustration, broadcast, or testimonial in connection with any work of Easterseals, and that these materials may be released to the general public.

These materials are owned by Easterseals, may be copyrighted or modified by Easterseals and may be used on an unlimited basis without any compensation or payment being made for any current or future use. Easterseals does not need to submit these materials to me for further approval and may decide not to use them. I will allow Easterseals, their respective employees and agents, and those acting with Easterseals' 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 Easterseals and to release this information to the general public.

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

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