I authorize XTrinity Fitness,LLC to photograph me, take motion pictures of me, take video footage of me, and/or make electronic sound recordings of me (herein referred to as photographic or electronic reproductions). I authorize the use of any such photographic or electronic reproductions of me for any purpose, including, but not limited to educational, commercial and other public media as may be deemed appropriate by Xtrinity Fitness, LLC (I understand that I may be identifiable from such photographic or electronic reproduction)

PARENTAL CONSENT I certify that I am the parent or guardian of any minors under the age of eighteen years who are with me during recording and video production. I hereby agree to assume legal responsibility for his/her authorizations referred to in this General Media Release.