Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to U Ride, its affiliates and agents, to use my image/video and likeness and/or any interview statements from me in its publications, advertising or other media activities (including the Internet).
This consent includes, but is not limited to:
(a) Permission to interview, film, photograph, tape, or otherwise make a video
reproduction of me and/or record my voice;
(b) Permission to use my name; and
(c) Permission to use quotes from the interview(s) (or excerpts of such quotes),
the film, photograph(s), tape(s) or reproduction(s) of me, and/or recording of
my voice, in part or in whole, in its publications, in newspapers, magazines
and other print media, on television, radio, and electronic media (including the
Internet), in theatrical media and/or in mailings for educational and
awareness.
