I grant permission to Pacific Islander  Health Board of Washington, and its staff, the irrevocable and unrestricted rights to reproduce the photographs and/or video images taken of me for the purpose of publication, promotion,  illustration, advertising, or trade, in a respectful manner.

I hereby release the Pacific Islander Health Board and its representatives for all claims and liability relating to said images or video. Furthermore, I grant permission to use my statements given during an interview, event, or guest lecture, with or without my name, for advertising and publicity without restriction.

I hereby waive my right to any compensation.