PHOTO RELEASE FORM

I hereby grant Atlantic Scuba, Inc permission to use my likeness in a photograph in any and all of its publications, including website entries, without payment, or any other considerations.

I understand and agree that these materials will become the property of Atlantic Scuba, Inc. and will not be returned.

I hereby irrevocably authorize Atlantic Scuba, Inc to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing Atlantic Scuba, Inc’s programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.

I hereby hold harmless and release and forever discharge Atlantic Scuba, Inc from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I am 18 years of age and am competent to contract in my own name. I have read this release before signing below and I fully understand that contents, meaning, and impact of this release.

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Signature                                                                                        Date

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Printed Name                                                                                 Date

If the person signing is under age 18, there must be consent by a parent or guardian, as follows:

I hereby certify that I am the parent or guardian of ____________________________,

Named above and do hereby give my consent without reservation to the foregoing on behalf of this person.

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Parent/Guardian’s Signature                                                      Date

Parent/Guardian’s Printed Name