Central Blood Bank


I hereby expressly authorize Central Blood Bank and/or its affiliates (collectively “Central Blood Bank”), or any persons authorized by it, to prepare, display, and release for internal or external publication my name, testimonial, photos or other identifying characteristics (“Materials”), without limitation, to the general public on the “Share” page of the internet as Central Blood Bank or any of its licensees or assignees determines appropriate, for the purposes related to the not-for-profit, charitable mission of Central Blood Bank, such as (but not limited to) soliciting blood donors and publicizing the role of Central Blood Bank in collecting, processing, and distributing blood products and/or educational purposes.  I understand that Central Blood Bank may choose to include my Materials in other locations, including, but not limited to, publications, broadcast, cable and satellite, as Central Blood Bank or any of its licensees or assignees determines appropriate.

I understand that Central Blood Bank will not receive any direct or indirect remuneration from a third party as a result of obtaining this Authorization, and I waive all rights that I may have to any claims for payment, compensation or royalties in connection with the use of the Materials within the scope of this Authorization. Any and all Materials taken of me or recorded by Central Blood Bank shall be the exclusive property of Central Blood Bank.

I waive any right to inspect and/or approve the finished product(s) and any other material that may be used on or in connection with the Materials, and any use to which the Materials may be applied.

By signing this Authorization, I hereby fully release and hold harmless Central Blood Bank and its affiliates, members, officers, directors, employees and agents of any nature whatsoever, on behalf of myself, my successors or assigns, from and against any and all liabilities, claims, damages or injuries whatsoever, arising out of, having any connection with or as a result of any participation related to the Materials, including, but not limited to, the extent indicated and authorized herein.