I, being of either legal age to consent or the legal parent or guardian of a minor child or person unable to consent on his or her own behlad, hereinafter the ("other featured individual") hereby grant Goodwill Arkansas the right and permission to use the following collectively referred to as "Tangible and Intangible Items" for any lawful, non-commercial purpose and in any and all media without payment or any other consideration:

-pictures
-negatives
-reproductions
-any recordings that may be made of my/the other featured individual's voice or likeness
-any written words or stories supplied by me/the other featured individual or written about me/the other featured individual

In addition, I waive any rights to inspect or approve the finished product wherein my likeness appears.1

I hereby acknowledge that Goodwill Arkansas may grant the same permissions as set forth in this Consent and Release form to Goodwill Industries International, Inc. ("GII") under the same terms and conditions.2

This form shall remain in effect for a period of five years, unless revoked. I understand that I may revoke this consent by submitting a written request to: Vice President of Community Engagement, Goodwill Arkansas, 7400 Scott Hamilton Dr, Suite 50, Little Rock, AR, 72209. I understand that, if I revoke consent, my revocation will not have any effect on actions already taken by Goodwill Arkansas in reliance on my consent.

By confirming below, I certify that I have read and understand this Consent and Release Form, I have been given the opportunity to have my questions answered, and I have been informed that Goodwill Arkansas must give me a copy of this document once it has been signed.

1, 2 Applicable only to individuals who grant permission.