Personal Information
Personal Information
Emergency Contact Information
Dietary, Special Needs, Allergies
Registration Information Consent
Photo Consent
Ferring Pharmaceuticals Inc. ("Ferring") has requested permission to use my name, statements, portrait, picture (still or moving), in each case, in any media or through any means of transmission or display now existing or hereafter created (collectively, the "Materials"). I hereby irrevocably grant Ferring and its subsidiaries and their respective assignees and successors the perpetual, worldwide right to use the Materials without any obligation to account for or compensate me for such use. I confirm that I have authority to grant these rights, and I hereby release and discharge Ferring and its subsidiaries and their respective assignees and successors from any claim, demand or cause of action, whether now known or unknown, for defamation; invasion of right to privacy, publicity, or personality or any similar matter; or based upon or relating to the use and exploitation of the Materials. The terms of this authorization shall commence on the date hereof and be without limitation.
