By signing below, and for the good and valuable consideration of participating in an event hosted by
REFUGE CHURCH, and sponsored in part by or associated with the Tim Tebow Foundation, I hereby give my
full consent to Tim Tebow Foundation, Inc., (“TTF”) a Georgia nonprofit corporation headquartered
in Florida and REFUGE CHURCH (“CHURCH”), a STATE nonprofit corporation, to record, by writing, by video,
photographic, or audio recording device, or by any other analog or digital means, my actions,
physical likeness, biographical information, and/or voice. Additionally, I hereby grant to TTF and
CHURCH, without royalty or other compensation now or in the future, all rights of every kind and
character whatsoever, in perpetuity, in and to any and all such recordings, along with any additional
recordings I might provide to TTF and CHURCH, and to any benefits inuring to TTF and CHURCH as a
result of its use of any of the foregoing recordings. Among other things, TTF and CHURCH may, but
are not required to, copy or reproduce the recording, edit or modify it, incorporate it into another
work, display or broadcast it or any of the foregoing privately or publicly, and use or license it or any
of the foregoing for use by others, all for the sole benefit and at the sole discretion of TTF and
CHURCH, for the advancement of TTF and CHURCH’s exempt charitable purposes. All permissions
granted herein extend to any successor or assign of TTF and CHURCH and bind me and my heirs,
successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and
CHURCH, its directors, officers, employees, volunteers, and independent contractors, from any and
all claims or damages, including but not limited to defamation or violation of rights of privacy or
publicity, arising from or associated with the recordings or use of recordings. This release shall be
construed, interpreted and governed in accordance with the laws of the State of Florida, and should
any provision of this release be determined invalid, such invalidity does not affect any of the
remaining provisions. I am of full age and have the right to contract in my own name.
