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Please read the Consent and Release form below. By checking the box to the left you are consenting to be bound by the terms of the following agreement. If you do not agree to the terms and conditions of the Consent and Release form, do not check the box to the left or submit a testimonial.

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† King Pharmaceuticals, Inc. Consent & Release

In consideration of the premises, and other good and sufficient consideration, which is hereby expressly acknowledged by clicking the "ACCEPT" button, I, hereby state the following:

I understand that King Pharmaceuticals, Inc. and its subsidiaries (collectively "King"), may elect within its sole discretion to use my name, title, comments, statements, photographs, images and/or likeness (collectively, the "Name") in advertising, marketing and/or promotional activities and materials of any form worldwide now or in the future. I also understand that King may elect within its sole discretion, and without notice, to not use my Name in advertising, marketing and/or promotional activities and materials.

I hereby grant to King, an absolute right and permission to use Use my Name which includes, but is not limited to, the ability to copyright, display, broadcast, transmit, publish, republish, alter, distort, create an illusionary effect with, blur, use in composite form, and create an optical illusion with, my Name in any and all advertising, marketing and/or promotional activities and materials or to refrain from doing so, in any media or medium, whatsoever, worldwide, now or in the future, for advertising, marketing and promotional activities and materials without notice to me and without additional compensation. I understand, agree and acknowledge that I hereby waive any and all claims, including any rights to copyright, publicity or privacy, that I may have, currently or that may arise at any time in the future, against King, including any employee, agent, representative, affiliate, assign or third-party acting on behalf of King in connection with the Use of my Name in any advertising, marketing, or promotional activities or materials of any form.

I understand, agree and acknowledge that I shall not receive any fee, royalty, payment or compensation, monetary or otherwise, now or in the future, for the Use of my Name by King or its designee in any advertising, marketing and/or promotional activities or materials of any form; and I hereby waive any and all rights, including any rights of copyright, publicity or privacy, that I may have, now or that may arise at any time in the future, against King, including its employees, agents, representatives, affiliates, assigns or any third-party acting on behalf of King to any fee, royalty, payment or compensation, monetary or otherwise for the Use of my Name by King or its designee in any advertising, marketing or promotional activities or materials of any form.

I understand, agree and acknowledge that King shall own all copyrights relating to all materials associated with the Use of my Name including, but not limited to, materials containing commentary or statements by me, films, videos, photographs, and reproductions taken of me or submitted by me to King, if any, in connection with its advertising, marketing and promotional activities and materials; and I hereby waive any and all rights that I may have, now or that may arise at any time in the future, to any materials, films, videos, photographs and reproductions taken of me by King or its designee, or submitted by me to King, and/or any employee, agent, representative, affiliate, or third-party acting on behalf of King for Use in any advertising, marketing or promotional activities or materials of any form. I additionally agree to take all necessary steps to establish, maintain and transfer ownership of the copyrights relating to the materials associated with the Use of my name to King without compensation.

I understand, agree and acknowledge that I hereby waive any and all rights of inspection, input, control, editing and approval to the Use of my Name by King or its designee in any advertising, marketing and promotional activities and materials as such activities and/or materials may be developed, from time to time, in any media or medium whatsoever including, but not limited to television, radio, sound track, print, computer, or web based to be used worldwide.

I understand, agree and acknowledge that I hereby waive and release any and all rights, demands, losses, liabilities, claims, causes of action whatsoever, against King, including any employee, agent, representative, affiliate, assign or third-party acting on behalf of King, which I may now or hereafter be entitled to assert, at law or in equity, including, but not limited to any injury, loss of enjoyment, loss of privacy, or other harm or loss of any nature whatsoever caused by, contributed to or arising out of the Use of my Name, including but not limited to distortion, blurring, alteration, optical illusion, use in composite form, which may result in subjecting me to ridicule, scandal, reproach, scorn or indignity.

I further acknowledge and agree that I have read the above prior to its execution and I fully understand its terms, conditions and contents.

It is understood and agreed that this is a full and complete RELEASE AND DISCHARGE of all claims and rights of the undersigned against King, including any employees, agents, representatives, affiliates, assigns and any third-party acting on behalf of King, and that no action shall be taken by or on behalf of the undersigned with respect to any such rights; it being acknowledged and understood that this RELEASE shall be fully and completely binding upon the heirs, executors and administrators of the undersigned.

I further acknowledge that I am over 21 years of age and competent to contract in my own name regarding the subject matter set forth herein.