10 Years 10 Challenges One Mission Submission Form - Springtime Surprise Weekend

Congratulations on Completing the 10 Challenges!

Thank you for celebrating Team MSAA's 10th Anniversary by participating in the 10 Challenges One Mission game. We hope you enjoyed participating in the challenges and made your Team MSAA experience even more memorable.

Please complete the submission form below to confirm you've finished all 10 challenges. Once your submission has been reviewed, you'll receive your 10th Anniversary Team MSAA commemorative magnet and be entered into the drawing for a $100 Disney Gift Card.

Thank you for being an important part of Team MSAA. Every mile you ran and every dollar your raised helps improve lives and support individuals and families living with multiple sclerosis.
1.Name(Required.)
2.Email(Required.)
3.Which Team MSAA race did you participate in?(Required.)
4.Please confirm you completed each challenge(Required.)
5.Who did you recruit to join Team MSAA's Facebook Page?(Required.)
6.Which Team MSAA event did you attend?(Required.)
7.What inspires you about MSAA's mission?(Required.)
8.What was your favorite challenge?
9.Upload your favorite Team MSAA race weekend photo!
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MSAA Requests your Signature for the Consent and Release Form

By signing below, I agree to the following terms regarding my participation and any content I provide.

In consideration of the opportunity to participate in MSAA events and appear in MSAA materials - including MSAA's websites, blogs, social media channels, and other digital or printed media - I acknowledge that I am entering into this agreement voluntarily and with full understanding of its terms.

I hereby grant to MSAA, its subsidiaries, affiliates, licensees, contractors, agents, successors, assigns, and those acting under its permission or upon its authority, worldwide and forever:

1. An irrevocable, non-exclusive, sublicensable and transferrable license to use, reproduce, distribute, prepare derivative works of, display and perform any and all content I submit, including photographs, written content, images, and other authored works.

2. Permission to capture, use, reproduce, publish, and distribute any photographs, video footage, or digital images taken of me at the event for promotional, educational, fundraising, and communication purposes. This includes all commercial and non-commercial uses across any media now known or later developed, without restriction.

3. The irrevocable right to use, reproduce and distribute my name, image, likeness, signature, performance and voice, and to portray me and describe me.

4. If applicable, permission to fully disclose my multiple sclerosis, and to state and/or imply that I endorse MSAA.

It is within MSAA’s sole discretion to use or not use all or any portion of My Appearance and the Licensed Copyrighted Works.

The right to My Appearance and the grant of a license to the Licensed Copyrighted Works shall include, forever, worldwide and without limitation, all commercial and non-commercial media and formats now known or hereafter invented, including all digital technologies, and includes the right to create derivative works, alterations, and future versions of My Appearance and the Licensed Copyrighted Works.

My Appearance shall be a work made for hire under copyright law owned by MSAA. If My Appearance is deemed to not be a “work made for hire,” I irrevocably, forever, worldwide and without limitation or reservation assign all right, title, and interest under copyright in My Appearance to MSAA.

I retain ownership of all copyrights in the Licensed Copyrighted Works.

I hereby release and hold MSAA, its officers, directors, employees, agents, assigns, and any person or corporation acting under the permission of MSAA harmless from, and defend and indemnify them against, any claims arising in any way from My Appearance, the Licensed Copyrighted Works, or if applicable the disclosure of my multiple sclerosis whether such claims are known to me now or I become aware of them in the future, including claims based on right of publicity, misappropriation, invasion of privacy, confidentiality, false light, defamation, copyright, trademark, advertising, endorsement, or moral rights worldwide and forever.

I represent and warrant that I have obtained, own or otherwise have permission to grant all rights with respect to the Licensed Copyrighted Works, and I certify that I am of full age (18) and possess full legal capacity to execute this agreement. If under 18, parent or legal guardian must also sign below:
10.E-Signature