AUTHORIZATION TO USE PHOTOGRAPHS, AUDIO-VISUAL AND/OR AUDIO

I, hereby authorize KusH. Inc. to use, reproduce, and/or publish
photographs and/or video and/or social media links that may pertain to me—
including my image, likeness and/or voice without compensation. I
understand that this material may be used in various publications, public
affairs releases, recruitment materials, broadcast public service
advertising (PSAs) or for other related endeavors. This material may also
appear on KusH. Inc.’s Internet Web Page/s. This authorization is
continuous and may only be withdrawn by my specific rescission of this
authorization. Consequently, KusH. Inc. may publish materials, use my
name, photograph, and/or make reference to me in any manner that KusH.
Inc. deems appropriate in order to promote/publicize service opportunities
for myself and the likeness of KusH. Inc.

By submitting your request, your submission will act in part of your
electronic signature.

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