I hereby grant Mary Mahoney Professional Nurses – Detroit (hereafter referred to as MMPN-D) permission to use my likeness in a photograph, video, or other digital media (“photo”) taken of me in any and all of its publications including web-based publications. I understand that all photos will become the property of MMPN-D. I hereby irrevocably authorize MMPN-D to edit, alter, copy, exhibit, publish or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. I further acknowledge that my participation is voluntary and I waive any right to royalties or other compensation arising or related to the use of this photo. I hereby hold harmless, release and forever discharge MMPN-D 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 by reason of this authorization. I have read and understand the above photo release. I affirm that I am at least 18 years of age as evidenced by my signature below.
I accept the responsibilities of MMPN-D membership and will contribute to the mission of Mary Mahoney Professional Nurses – Detroit with my active participation.