Digital Social Waiver - Influencers Jefferson's reaches out to users to request their permission to share our favorite content and images on our various sites, social channels, blogs, in-restaurant, and promotional materials. We’d like your permission to use your social media content in one of these ways. If you agree, Jefferson's and its agency partners will have the irrevocable, non-exclusive and royalty-free right to use, reproduce, modify, publish and publicly display the content in perpetuity. To clarify, we are requesting your permission to share/use your content on: Any Jefferson's branded social media channel, with attribution in perpetuity. In Jefferson's website content with attribution in a format of our choosing in perpetuity. Emails directing to blog posts and/or social media posts without attribution in perpetuity. In Jefferson's restaurants. Step 1 of 5 20% Please select participants for whom you will be signing Myself (Adult 18+) Minor (Under 18 years) Parent/Guardian & Minors Number of Minors Adult Name* First Last Date of Birth MM DD YYYY Email* Email for Adult Social Handle Parent/Guardian Name First Last Parent/Guardian Date of Birth MM DD YYYY Parent/Guardian Email Social Handle Minor's First Name First Last Minor's Date of Birth MM DD YYYY Minor's Email (Can be Guardian's Email) Social Handle Upload an Image(if applicable)By checking the box below, you are granting Jefferson's Franchise Systems the right to use your content in perpetuity for their promotional materials and that you have full right to grant the license and permit the use authorization herein, including all copyright and rights of publicity. Thank you for your cooperation.* I consent to the above