I hereby authorize Simply Psychology LLC to use pictures of me (or my child/ward) taken in a
photograph, digital image, videotape, motion picture, and/or testimonial (written words).
The undersigned hereby releases Simply Psychology LLC, its agents or employees, as well as
any and all users and exhibitors of said pictures, from any and all claims, demands,
accountings, and causes for which the aforesaid videotape, testimonial, motion picture,
digital image, or photograph likeness may be used pursuant to this Consent and General
Release. It is also my understanding that I will receive no compensation for my likeness
or testimonial.