I grant permission to The Hospital and Healthsystem Association of Pennsylvania (“HAP”), its agents, and/or employees to use the text, photographs, video, or audio provided by me in all HAP print, electronic, or other medium, including social media.

I hereby waive any right to inspect or approve the finished photographs/audio/video or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the submitted information.

I hereby agree to release, defend, and hold harmless HAP, its agents, and/or employees, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper, via electronic media, or on websites, from and against any claims, damages, or liability arising from or related to the use of the submitted information.

I certify that I am 18 years of age or older; am competent to contract in my own name; and fully understand the contents, meaning, and impact of this release.