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Form 2

Media Release

Authorization for likeness use in IPN event documentation and marketing

I hereby grant the Ismaili Professionals Network (“IPN”) and its affiliated entities, including the Aga Khan Economic Planning Board (“EPB”) and the Shia Imami Ismaili Council for USA (collectively, “the Council”), permission to use my likeness in photographs, video recordings, or other digital media (“media”) captured in connection with the Unmatched event (“Event”).

I understand that as part of my participation in the Event, media may be used for purposes including, but not limited to, event documentation, promotional materials, IPN communications, social media, and future program marketing. I hereby irrevocably authorize the Council to edit, alter, copy, exhibit, publish, or distribute such media in perpetuity for any purpose related to IPN programming and event promotion.

I waive any right to inspect or approve the finished product in which my likeness appears. I understand and agree that I am not entitled to any compensation, monetary or otherwise, arising from or related to the Council’s use of my likeness or any media in which I appear.

I hereby hold harmless, release, and forever discharge the Council, its members, officers, representatives, employees, and volunteers from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have related to the use of my likeness in the manner above.

Each party agrees that this Release may be electronically signed, and that any electronic signature appearing hereon shall have the same legal validity as a handwritten signature for the purposes of validity, enforceability, and admissibility.

By making your selection on the application form, you acknowledge that you have read and understood the above Media Release.

If You Accept

I have read and understand the above Media Release and accept its terms. I affirm that I am at least 18 years of age.

If You Decline

I do not consent to the use of my likeness and decline this Media Release. IPN will make reasonable efforts to exclude me from published event photography and media. I understand that IPN cannot guarantee exclusion from incidental group photos taken during the event.