CONSENT AND RELEASE

I, hereby irrevocably and perpetually grant to PUREANCE, LLC (“COMPANY”) its subsidiaries, affiliates, successors and assigns:

The right to photograph, videotape, record, use and display my name, voice, appearance, likeness, and/or interview along with any material furnished by me, in whole or in part, in any of COMPANY’s books, program materials, marketing materials and programs.

The right to use my written, oral and video submissions, contributions or interview in any fashion COMPANY uses, in its discretion.

The right to publish, exhibit and distribute my name, voice, appearance, interview and/or likeness along with any material furnished by me, in whole or in part, worldwide, for any commercial purpose, including but not limited to the advertising or solicitation of business, by any means of mass and/or electronic media, including but not limited to print, radio, television and promotional materials, events and/or marketing plans.

I understand COMPANY is relying on this Consent and Release by interviewing and photographing, taping or recording my appearance and that my authorization and this Consent and Release is irrevocable and may not be withdrawn. I waive any right to inspect any materials of any time prior to release, use or publication, and, on behalf of my heirs, executors and assigns, I waive any claims that I may have against COMPANY, its representatives, and their licensees, successors and assigns, based upon such use, including without limitation any claims with respect to defamation, rights of privacy and publicity and copyright.

I hereby acknowledge that I have not been paid or otherwise compensated, and I further certify that all material, whether verbal, written or exhibited by me has not been scripted and represents my individual opinions and beliefs, and is true and correct to the best of my knowledge.