By | 19 Sep 2013

Dana, Paul and Sam, Pennsylvania

When I was pregnant with each of our boys, my husband and I did not know their gender. We wanted to be surprised. We didn't care if we had boys or girls, "as long as they're healthy." We said it dozens of times, never imagining something would be wrong with one of our children. We took it for granted.

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Our second son, Sam, was born with life-threatening heart defects requiring two open heart surgeries by the time he was four months old. Thankfully, today he is an energetic 3 year old, ready to go to school and play soccer like his older brother. We are thankful for all the AHA does to fund heart defect research. Our son would not be here today without all the AHA has done to help doctors and medical professionals continue their work developing new surgical techniques.

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(REV August 2016)

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For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby grant to the American Heart Association (“AHA”) and its successors and anyone authorized by it the following unrestricted rights and release, all of which may be exercised without geographical, time or other limitation: In regards to the submission of stories, video or digital recordings, whether of an audio or visual nature, and photographs (collectively “Submitted Material”) for use by the AHA, I hereby release the AHA from all liability, and make the following grants and representations in connection therewith:

(a) The right to record, photograph and/or otherwise use, produce, copyright, transmit by radio or television, use on internet, distribute, exhibit and, as applicable, exploit my likeness, voice, statements, acts, poses, plays and appearances, and all other effects resulting from my services rendered in providing the Submitted Material, it being understood that the rights granted may be exercised in any and all media whatsoever.

(b) All my right, title and interest in all negatives, tapes, transparencies, prints and reproductions of the Submitted Material, including all copyrights, the right to copyright the Submitted Material anywhere in the world and the right to obtain renewals thereof and the right to use, sell, lease or license any of the foregoing, it being understood that AHA shall have the right to cut, edit, alter, interpolate, repurpose and otherwise change the story and to divide the same into as many parts as they desire wherein each part or combination of parts of the presentation may be used alone or together.

(c) I represent and warrant that the information provided to the AHA is a true and accurate account, is original, does not infringe on another’s copyright or other proprietary rights, is not defamatory and that I have full right and authority to disclose and convey the Story or provide the Photograph(s) and/or video recording to the AHA.

(d) I hereby waive all reuse fees or such other fees which might be applicable to the above stated grant and release.

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I represent and warrant that I am of legal age and have the right to enter into the aforementioned agreement of release.