Photo & Video Release Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Date MM slash DD slash YYYY Release Agreement(Required)For good and valuable consideration, the receipt and sufficiency of which I hereby acknowledge, I irrevocably grant Fuku my permission and the right to use my image, likeness, and sound of my voice as recorded on audio or video, to photograph, record videos and audio of me, and to use any and all photographic, video, or other images taken of me. I hereby irrevocably permit, authorize, and license Fuku and its affiliates, legal representatives, successors, licensees, agents, assigns, and those acting on Fuku’s behalf ("Authorized Persons") to use, re-use, publish, and re-publish the Images and Videos, either separately or together and either in whole or in part, and all materials created by or on behalf of the Authorized Persons that incorporate any of the foregoing ("Materials") for advertising, promotion, and other commercial and business purposes in connection with Fuku and its affiliates and their businesses, products, and services in perpetuity throughout the world in any and all media and formats and by any and all technologies and means of delivery whether now or hereafter known or devised without further consent from or any royalty, payment, or other compensation to me. I specifically consent to the use of the Images and Videos with other images and videos, text, graphics, film, audio, and audiovisual works. I acknowledge and agree that the Images and Videos may be altered or modified without any restrictions, whether by traditional photographic techniques or digitally, including retouching, creating composite, blurred, or distorted representations, and changing color, size, shape, perspective, context, foreground, or background. Fuku is and will be the exclusive owner of all rights in the Images and Videos and Materials. I hereby irrevocably transfer, assign, and otherwise convey to Fuku my entire right, title, and interest, if any, in and to the Images, Videos, and Materials and all copyrights and other intellectual property rights in the Images, Videos, and Materials arising in any jurisdiction throughout the world in perpetuity, including all registration, renewal, and reversion rights, and the right to sue to enforce such rights against infringers. Fuku has no obligation to use the Images, Video or the Materials, or to exercise any rights granted under this Agreement. I acknowledge and agree that I have no right to review or approve the Images, Videos, or the Materials, including any written copy or other materials that may be used in connection therewith, before they are used by Fuku or at any other time, and that Fuku has no liability to me for any editing or alteration of the Images, Videos, or the Materials, or for any distortion or other effects that may occur or be produced in connection with the taking of such Images or Videos, Fuku’s processing, editing, alteration, transmission, display, publication, or other use of the Images, Videos or the Materials. To the fullest extent permitted by applicable law, I hereby irrevocably waive all legal and equitable rights relating to all liabilities, claims, demands, actions, suits, damages, and expenses, including but not limited to claims for copyright or trademark infringement, infringement of moral rights, libel, defamation, invasion of any rights of privacy (including intrusion, false light, public disclosure of private facts, and misappropriation of name or likeness), violation of rights of publicity, physical or emotional injury or distress, or any similar claim or cause of action in tort, contract, or any other legal theory, now known or hereafter known in any jurisdiction throughout the world (collectively, "Claims") arising directly or indirectly from the 2 Authorized Persons' exercise of their rights under this Agreement or the production, exhibition, advertising, promotion, exploitation, or other use of the Images, Videos, or Materials and whether resulting in whole or in part from the negligence of Fuku or any other person, covenant not to make or bring any such Claims against any Authorized Persons and their agents, employees, and representatives, and forever release and discharge the Authorized Persons from liability under such Claims. I understand that Fuku is relying on this Agreement and will incur significant expense in reliance on this Agreement, and I agree that this Agreement cannot be terminated, rescinded, or modified, in whole or in part. I represent and warrant to Fuku that I am at least 18 years of age and that I have full right, power, and authority to enter into this Agreement and grant the rights granted hereunder. For purposes of this Agreement, the word "including" is deemed to be followed by the words "without limitation," and the word "or" is not exclusive. This Agreement constitutes the sole and entire agreement of the parties to this Agreement regarding the subject matter herein, and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, regarding such subject matter. Fuku may assign this Agreement and its rights and obligations hereunder, in whole or in part, to any party. This Agreement will be binding on and will inure to my benefit and the benefit of Fuku and our respective heirs, executors, administrators, legal representatives, successors, and permitted assigns. All matters arising out of or relating to this Agreement will be governed by and construed in accordance with the internal laws of the State of California without giving effect to any choice or conflict of law provision or rule (whether of the State of California or any other jurisdiction). Any claim or cause of action arising under this Agreement may be brought only in the federal and state courts located in the state of California and I hereby irrevocably consent to the exclusive jurisdiction of such courts. THIS AGREEMENT PROVIDES FUKU WITH MY ABSOLUTE AND UNCONDITIONAL CONSENT, WAIVER, AND RELEASE OF LIABILITY, ALLOWING FUKU TO PUBLICIZE, COMMERCIALLY EXPLOIT, AND OTHERWISE USE MY LIKENESS, AS SET OUT ABOVE. BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS AGREEMENT, THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE FUKU AND THAT THIS CONSENT IS IRREVOCABLE. I agree and consent to all of the above