Survey session

By submitting my information I am granting permission to The Whole Measure to use my media (comments and name where indicated). I understand that I may be identifiable from the reproduction of the media by The Whole Measure indicated herein this agreement. I hereby waive my rights to inspect or approve the media for production that may be used by The Whole Measure for purposes stated herein, from hereon forward. I likewise waive any right to royalties or any compensation arising from or related to its use. I certify that I am of legal age and competent to contract in my own name.