I authorize Res-Care, Inc. d/b/a BrightSpring Health Services, and its employees, subsidiaries, agents and vendors (“Res-Care”), to use, disclose, reproduce, distribute, publish and display to the public photos and videos (“Image Information”) taken of me:
__________________________________________________ (Print Name) for the purpose of Res-Care marketing and advertising its services. I understand and agree that Res-Care may also publish my name and other biographical information and that I will be identified by the Image Information disclosed, including as a potential new employee of Res-Care. I understand and agree that disclosure of my Image Information to the public includes, but is not limited to, publishing in print media, TV, websites, blogs, and social media, including Facebook, Instagram, Snapchat, Twitter, and YouTube. I understand that once Image Information is disclosed to the public it may be re-disclosed to others.
I release, discharge and hold Res-Care harmless from any and all claims (including compensation) related to the Image Information, including but not limited to, the use, reproduction, disclosure, publication, or display of the Image Information. I relinquish and give to Res-Care all of my rights, title, and interests in and to the Image Information, including any rights of publicity or copyright which may exist now or in the future.
This Authorization binds me, my heirs, successors, assigns and representatives. No promises have been made, or other inducements given to me to obtain this Authorization.
I understand that this Authorization does not expire. I further understand that this Authorization is voluntary and that I may refuse to sign this Authorization. My refusal to sign this Authorization will not affect my ability to gain employment with Res-Care.
Accepted and Agreed:
_______________________________________________________________________________
Signature Date
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BrightSpring Use Only
Agency/Office/Facility: __________________________ Team Member/Agent: __________________________
EMAIL COMPLETED FORM immediately to
[email protected].
Subject of email should be Individual’s full name. Retain original document in the employees personnel file.
THIS FORM IS ONLY FOR USE WITH IMAGES OF INDIVIDUALS WHO ARE NEITHER EMPLOYEES NOR CLIENTS NOR PATIENTS OF BRIGHTSPRING.
