I hereby grant permission to the Walter F. Burnet Scholarship, and its officers, trustees, employees, agents, students, representatives, successors, licensees and assigns (hereinafter "WFBMS") to photograph my image, likeness, or depiction and/or that of my minor children (if applicable). I hereby grant permission to the WFBMS to edit, crop, or retouch such photographs, and waive any right to inspect the final photographs. I hereby consent to and permit photographs of me and/or those of my minor children to be used by the WFBMS worldwide for any purpose, including educational and advertisement purposes, and in any medium, including print and electronic. I understand that the WFBMS may use such photographs with or without associating names thereto. I further waive any claim for compensation of any kind for the University's use or publication of photographs of me and/or those of my minor children (if applicable).
I hereby fully and forever discharge and release the WFBMS from any claim for damages of any kind (including, but not limited to, invasion of privacy; defamation; false light or misappropriation of name, likeness or image) arising out of the use or publication of photographs of me and/or those of my minor children (if applicable) by the WFBMS, and covenant and agree not to sue or otherwise initiate legal proceedings against the WFBMS for such use or publication on my own behalf or on behalf of my minor children. All grants of permission and consent, and all covenants, agreements and understandings contained herein are irrevocable.
I, hereby authorize WFBMS to use any and all information such as my name, award amount, and information contained in my application and essay for WFBMS purposes such as the awards ceremony, and advertisement in both print and electronically. WFBMS will not provide your address or phone number to any party without your prior consent.
I agree to release from liability WFBMS, its directors, officers, employees and agents, and all persons from, and hold it harmless against, any and all claims of whatever nature that I might have now or in the future as a result of the WFBMS providing such information.
I acknowledge and represent that I am over the age of 18, have read this entire document, that I understand its terms and provisions, and that I have signed it knowingly and voluntarily on behalf of myself and/or my minor children (if applicable).