INTERVIEW RELEASE

Triple V, a California non-profit corporation, with offices located at 3366 N Torrey Pines Ct, La Jolla, Ca 92037 (the "Company"), desires to interview and record such interview, and use and publicize the name, likeness, and other personal characteristics and private information of, the individual named below ("I" or "me").

For the intangible value I will gain by participating in the interview, and other good and valuable consideration, the receipt and sufficiency of which I hereby acknowledge, I irrevocably grant Company permission to interview me (the "Interview”), to film, record, and photograph the Interview (the "Recording”), and to use the Interview, the Recording, and my name, likeness, and other personal characteristics and private information for any purpose whatsoever ("Release").

I hereby irrevocably permit, authorize, and license Company and its affiliates, successors, licensees, agents, and assigns ("Authorized Persons") to digitize, modify, alter, edit, adapt, create derivative works, display, publicly perform, exhibit, transmit, broadcast, reproduce, exploit, sell, rent, license, otherwise use and distribute, and permit others to use and distribute the Interview and the Recording, including my name, image, likeness, appearance, and voice as they appear in the Interview and/or Recording, on a perpetual basis throughout the world, in any medium or format whatsoever whether now existing or hereafter created, for any purpose whatsoever, without further consent from or any royalty, payment, or other compensation to me.

I agree that Company is and will be the sole and exclusive owner of all right, title, and interest in and to the Interview, the Recording, and any material created therefrom, including without limitation all copyrights and other intellectual property rights therein, in perpetuity throughout the universe. I disclaim and irrevocably waive any and all claims I may now or hereafter have in any jurisdiction to so-called "moral rights" or rights of droit moral in the Interview, the Recording, or any material created therefrom.

I acknowledge and agree I have no right to approve the Interview, the Recording, or any material resulting therefrom before they are used by Company or at any other time, and that Company has no liability to me for any reasonable editing or alteration the Interview, the Recording, or the materials resulting therefrom, or for any distortion or other effects resulting from Company's editing, alteration, or use of the Interview, the Recording, or the materials resulting therefrom, or Company's presentation of me, provided, however that I may make a one-time request, prior to the release of such  materials, to review the same to confirm that they are not altered in such a way so as to portray me in a misleading, negative or defamatory manner. Any acknowledgment or credit accorded to me in connection with the Interview or the Recording will be determined by Company in Company's sole discretion.

To the fullest extent permitted by applicable law, I hereby irrevocably waive all legal and equitable rights relating to all liabilities, claims, demands, actions, suits, damages, and expenses, including but not limited to claims for copyright or trademark infringement, infringement of moral rights, libel, defamation, invasion of any rights of privacy, violation of rights of publicity, physical or emotional injury or distress, or any similar claim or cause of action in tort, contract, or any other legal theory, now known or hereafter known in any jurisdiction throughout the world (collectively, "Claims"), arising directly or indirectly from the Authorized Persons' exercise of their rights under this Release and the use and exploitation of the Interview, the Recording, and/or any materials resulting therefrom, and whether resulting in whole or in part by the negligence of Company or any other person, covenant not to make or bring any such Claim against any Authorized Persons, and forever release and discharge the Authorized Persons from liability under such Claims. 

This Release is my complete understanding regarding the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, regarding such subject matter. If any term or provision of this Release is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability will not affect any other term or provision of this Release or invalidate or render unenforceable such term or provision in any other jurisdiction. This Release will be binding on and will inure to the benefit of Company and me and our respective successors and assigns. All matters arising out of or relating to this Release will be governed by and construed in accordance with the internal laws of the State of California without giving effect to any choice or conflict of law provision or rule (whether of the State of California or any other jurisdiction). 

THIS RELEASE PROVIDES THE COMPANY WITH YOUR ABSOLUTE AND UNCONDITIONAL CONSENT, WAIVER, AND RELEASE OF LIABILITY, ALLOWING THE COMPANY TO PUBLICIZE AND COMMERCIALLY EXPLOIT YOUR NAME, LIKENESS, AND OTHER PERSONAL CHARACTERISTICS AND PRIVATE INFORMATION AS SET OUT ABOVE. BY SIGNING, YOU ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT YOU ARE GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COMPANY.