I, or as parent or legal guardian of the below-named child (the “Child”) and for good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, grant to Crime Stoppers of Houston, its partners in the #NoMindLeftBehind initiative, and its licensees, assigns and successors in interest all right, title and interest, throughout the world and in perpetuity, in and to my or the Child’s performance, appearance, name, voice and the results and proceed thereof relating to my or the Child’s entry video for the #NoMindLeftBehind PSA video contest (the “Video”), including without limitation photographs, videotapes, other media material and sound recordings of myself or the Child that Crime Stoppers of Houston, licensees, and its partners in the #NoMindLeftBehind initiative, has developed or will develop.

1. I authorize Crime Stoppers of Houston, licensees, and its partners in the #NoMindLeftBehind initiative (i) to edit the submission, and to include it with other performances and with sound effects, special effects and music; (ii) to use the submission in the Video, or not, in Crime Stoppers of Houston, licensees, and its partners in the #NoMindLeftBehind initiative’s sole discretion; (iii) to use and license others to use the submission in any manner or media, including without limitation unrestricted use for purposes of publicity, advertising, fundraising and education; and (iv) to use my or the Child’s name, likeness, voice and biographic or other information in relation to the submission or for any other purpose.

2. I acknowledge Crime Stoppers of Houston, licensees, and its partners in the #NoMindLeftBehind initiative owns all rights to such photographs, videos, media material, sound recordings and any other content resulting from the submission (the “Media Content”), in its entirety, including without limitation the right to all intellectual property rights and extensions or renewals thereof, and I hereby waive any right I may have to inspect and/or approve the finished product in which the Media Content may be included.

3. I acknowledge any Media Content developed in connection with the submission may be used by Crime Stoppers of Houston licensees, and its partners in the #NoMindLeftBehind initiative for any purpose, including but not limited to promoting the mission of the initiative.

4. I release and discharge Crime Stoppers of Houston, licensees, and its partners in the #NoMindLeftBehind initiative, its employees, officers, directors, volunteers, licensees, designees, successors and assigns from any and all claims, actions and demands arising out of or relating to use of the Media Content, including but not limited to claims for invasion of privacy, defamation and libel.

ACKNOWLEDGED AND AGREED on the date set forth below: