For received consideration, I give permission to Dayspring Bank to use my name and photographic likeness in all forms and media for use in advertising, trade, or for any purpose. Additionally:

• I hereby relinquish any right that I may have to examine or approve the completed product or products or the advertising copy or printed material that may be used in conjunction therewith or the use to which it may be applied;

• I hereby release, discharge and agree to save harmless Dayspring Bank, its legal representatives or assigns, and all persons functioning under its permission or authority, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be created in the taking of said picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy; and

• I hereby affirm that I am over the age of majority and have the right to contract in my own name and that I have read the above authorization, release and agreement, prior to its execution; I fully understand the contents thereof.

This agreement shall be binding upon me and my heirs, legal representatives and assigns.