Share Your Story Consent Agreement

I hereby authorize the Hairy Cell Leukemia Foundation (“Foundation”) to reproduce, distribute, edit (provided the substance of my story remains intact), publicly display, and otherwise use the material I submit in my Share Your Story Form (the “Material”) in publications that advance the mission and goals of the Foundation, including on its website, in Facebook posts and in its newsletter and other publications, either in print or electronic form, and in any republication of that Material by the Foundation or a third party. In all instances, the Foundation may use my first name and my residence State, City and/or Country (at the discretion of the Foundation), as well as the first names of my family members and others about whom I write in the Materials. It is understood that the Foundation will make reasonable efforts not to voluntarily disclose my full name or my contact information to third parties without my express consent.

I understand and agree that I will receive no monetary compensation in exchange for the use of this Material by the Foundation and hold the Foundation harmless in the event of any claim for misappropriation or copyright infringement.

I hereby waive any right to inspect or approve of the use of the Material in advance of its use by the Foundation, now or in the future.

I release and discharge any and all actions or claims which I, my heirs, my assigns, and/or my family members may have or had against the Foundation, its officers, directors, trustees, employees, contractors and/or agents, arising for any reason whatsoever from any distribution, publication, or use of the Material. I agree to defend, indemnify, and hold harmless the Foundation and its officers, directors, trustees, employees, contractors, professional advisors, assignees and agents, from and against any and all claims, demands, expenses, losses or liabilities including, without limitation, reasonable attorney’s fees, arising out of or in connection with any breach, or alleged breach, of the terms of this Consent Agreement.

I represent and warrant that the facts set forth in the Materials are true and not libelous or slanderous and do not violate any copyright. I further represent and warrant that I understand and agree to the terms set forth herein.