I hereby give Sam Alawie, Mehrdad Razaghy DDS, and the BHDL Dental Center the absolute and irrevocable right and permission, with respect to the photographs that have been taken of me or in which I have been included with others:
(A) To copyright the same in their own name or any other name they may choose.
(B) To use, re-use, publish and re-publish the same in whole or in part, individually or in conjunction with other photographs, in any medium and for any purpose whatsoever, including (but not by way of limitation) illustration, promotion and advertising & trade.
(C) To use my first name in conjunction therewith if they so choose.
I hereby release and discharge Sam Alawie, Mehrdad Razaghy DDS, and BHDL Dental Center from any and all claims and demands out of or in connection with the use of the photographs, including any and all claims for libel.
This authorization and release shall also ensure to the benefit of legal representatives, licensees, and assigns of Sam Alawie, Mehrdad Razaghy DDS, and BHDL Dental Center as well as, person(s) for whom the photographs were taken.
I am over the age of twenty-one. I have read the foregoing and fully understand the contents thereof.