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CONSENT AND RELEASE FORM             
I hereby irrevocably grant in perpetuity to the American Cancer Society Cancer Action Network, Inc., its legal representatives or assigns, affiliates (including, but not limited to, its separately incorporated divisions, the American Cancer Society, Inc., ACS Products, Inc., and the American Cancer Society Foundation) and those acting under its permission and upon its authority, or those for whom American Cancer Society Cancer Action Network, Inc. is acting, the absolute right and permission to:
(a) copyright, use, re-use, publish, and republish, and to license the right to use, re-use, publish and republish, photographic portraits or pictures of me or in which I may be included intact or in part, composite or distorted in character or form, in any medium or form of distribution without restriction as to changes or transformations in conjunction with my own or a fictitious name, or reproduction hereof in color or otherwise, made through any and all media now or hereafter known for any purposes whatsoever, including, without limitation, illustration, art, promotion, advertising or trade;
(b) copyright, use, re-use, publish and republish, and to license the right to use, re-use, publish and republish my likeness and/or voice on film or videotape, to edit or change or alter such recording(s) at its sole discretion in which I may be included in whole or in part, or composite or distorted in character or form, in any medium or form of distribution without restriction as to changes or transformations in conjunction with my own or a fictitious name, or reproduction hereof in color or otherwise, made through any and all media now or hereafter known for any purposes whatsoever, including, without limitation, illustration, art, promotion, advertising or trade; and/or
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It is my understanding that I will receive no compensation for my likeness or testimonial.  
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"I never smoked cigarettes, but for 27 years working on the casino floor I was exposed to second-hand smoke — I have lung cancer. Now folks want to exempt casinos from smoke-free laws. Don't let this happen to more workers. Everyone deserves the right to breathe smoke-free air."

—Vincent Rennich