I [insert name] ____________________________ give It Works! full permission to use this

story/these pictures for advertising and marketing purposes. I understand and agree that

these pictures will be publicly posted on social media sites and likely will be re-posted by other

individuals whether affiliated with It Works! or not. I waive all claims against It Works Marketing,

Inc., its affiliates, subsidiaries, agents, assigns or anyone authorized by It Works! for any and all

publication of these pictures.

Signed__________________________________________________

Account ID# __________________

Name (Print)_______________________________________________________________________________