I, the individual listed below (“Authorizer”), authorize Nancy L. Smolinski d/b/a Children’s Piano Institute, LLC (“Company”) to publish photographs of me, including my name and likeness (“Materials”), for use in the Children’s Piano Institute, LLC’s print, online and video-based marketing materials, as well as other Company publications.

This Release and the use of the Materials shall be continuing.  Authorizer shall be required to submit to Company a written request to rescind this Release.  Company shall be granted a minimum of one-year for use of the Materials during which no rescission of this Release may occur.  Company shall be permitted the continuing use of any printed, video-based or other materials, even after a rescission has occurred, until such materials have been exhausted.  Company shall have Ninety (90) days after any rescission to remove photographs in use on any electronic media such as a website.

The Authorizer hereby releases and holds harmless Children’s Piano Institute, LLC and Nancy L. Smolinski from any reasonable expectation of privacy or confidentiality associated with the images specified above.

The Authorizer further acknowledges that participation is voluntary and that the Authorizer will not receive financial compensation of any type associated with the taking or publication of these photographs or participation in Company marketing materials or other Company publications. The Authorizer acknowledges and agrees that publication of said photos confers no rights of ownership or royalties whatsoever to Authorizer.

The Authorizer hereby releases Children’s Piano Institute, LLC and Nancy L. Smolinski, their contractors, employees and any third parties involved in the creation or publication of Company publications, from liability for any claims by the Authorizer or any third party in connection with the Authorizer’s herein participation.

Prepared by the Law Offices of Bingaman, Hess, Coblentz & Bell, P.C.