Full Name
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Injury:
OrthoCor Medical Device: Select OptionsActive Neck SystemActive Shoulder SystemActive Elbow SystemActive Wrist SystemActive Back SystemActive Universal SystemActive Knee SystemActive Ankle SystemActive Foot SystemAdvanced Knee System
In a few short sentences, please describe your experience your Orthocor device:
I, , hereby grant permission to Caerus Corp dba OrthoCor Medical to use and release the following materials:
My image, in video or still format.
The likeness and sound of my voice as recorded on audio or video.
A written testimonial provided by me.
I understand and acknowledge that these materials may be edited, copied, exhibited, published, or distributed by Caerus Corp dba OrthoCor Medical. I further waive the right to inspect or approve the finished products wherein my likeness, voice, or written testimonial appears. I also waive any right to royalties or other compensation arising or related to the use of these materials.
I understand that these materials may be used in diverse marketing and educational settings within an unrestricted geographic area, including but not limited to:
Presentations
Courses
Online/Internet Videos
Media
News (Press)
By signing this release, I understand and agree that the photographic, audio, video recordings, and written testimonial may be used in digital or printed format. There is no time limit on the validity of this release, and there are no geographic limitations on where these materials may be distributed. By signing this release, I acknowledge that I have completely read and fully understand the above release, and I agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing these materials for the agreed purpose.
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