AUTHORIZATION TO REPRODUCE PHYSICAL LIKENESS AND/OR VOICE

For good and valuable consideration, the adequacy and receipt of which is hereby acknowledged, I hereby expressly grant to the RPM Foundation, or any third party it may authorize, and to its and their employees, agents and assigns, the right to photograph or videograph me and/or make recordings of my voice, and the right to use pictures, silhouettes and other reproductions of my physical likeness – as the same may appear in any still-camera photograph and/or motion picture film, and/or recordings of my voice in and in connection with the exhibition and/or broadcast, theatrically or on television or radio, of any motion film or tape in which my physical likeness and/or voice may be used or incorporated, and in connection with the publication in magazines, newspapers or otherwise of any articles in which my physical likeness may be printed, used, or incorporated, and in the advertising, exploiting and publicizing of any such motion pictures, television programs, radio programs, magazines and newspapers.

I certify and represent that I have read the foregoing and understand the meaning and effect thereof and, intending to be legal bound.