PlayAbility Toys, LLC.

Release Form for Image Use

Name______________________________________ Date:___________________________ Email________________________________________________________________________________ I, _____________________, do hereby grant permission to PlayAbility Toys, LLC to use the image(s) I have submitted. Such use includes the display, distribution, publication, transmission or otherwise use of the photographs and images for use in materials that include, but may not be limited to, printed materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the PlayAbility Toys Website and social media outlets. This form will act as your digital signature. If you should, for any reason, wish to revoke image permissions, or have any questions/concerns, please contact us at nstgermain@playabilitytoys.com.