On my own behalf, and on behalf of my children, (“Applicant”) hereby grant the LiveBrave2gether network of participating foundations, funds and individuals (“LiveBrave”) permission to publish Applicant’s name, the names of Applicant’s family, city and state, updates on treatment or memorial, and the photos Applicant provides to LiveBrave (including any photos taken by LiveBrave with Applicant’s permission) in connection with sharing of Applicant’s request to the LiveBrave community and/or general public to encourage charitable donations. I understand that Applicant’s identity, likeness and information listed above may be used in publications, grant requests, donor communications, website or social media posts, and/or event signage regarding the LiveBrave community. This release shall not expire unless revoked in writing. Should Applicant provide notice of revocation, LiveBrave shall honor such notice and halt any publication thereafter, but the revocation shall not be retroactive. Applicant agrees to release, hold harmless, and indemnify LiveBrave and their officers, directors, agents, employees, representatives, successors and heirs of all liability in connection with this release.