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PHOTO, VIDEO, AND MEDIA RELEASE FORM
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1.
Consent and Release:
For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I (or my child/ward, if applicable) hereby grant to the River Falls Chamber of Commerce & Tourism Bureau, its agents, representatives, licensees, successors, and assigns (collectively, the "Organization"), the irrevocable right and permission to photograph, film, videotape, audiotape, create GIFs, digitally record, or otherwise capture my (or my child/ward's) image, likeness, voice, performance, and biographical information (collectively, the "Media"). Commerce and Tourism Bureau (Chamber) River Falls Days Parade (Parade), and for other good and valuable consideration, I hereby agree to release and discharge from liability arising from negligence the Chamber and its owners, directors, officers, employees, agents, volunteers, participants, and all other persons or entities acting for them (hereinafter collectively referred to as “Releasees”), on behalf of myself and my children, parents, heirs, assigns, personal representative and estate. *
PLEASE INITIAL IN THE BOX
(Required.)
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2.
Purpose of Use:
I (or my child/ward, if applicable) understand and agree that the Organization may use the Media, in whole or in part, individually or in conjunction with other media, for any purpose related to the promotion and marketing of the River Falls Chamber of Commerce and Experience River Falls, including but not limited to: Use on the Organization's websites: www.rfchamber.com and www.experienceriverfalls.com Social media platforms (including but not limited to Facebook, Instagram, Twitter, TikTok, etc.) Marketing and promotional materials, such as brochures, advertisements, newsletters, reports, and presentations (both online and offline) Archiving and other internal uses Any other legitimate purpose in connection with the Organization's mission. *
PLEASE INITIAL IN THE BOX
(Required.)
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3.
No Compensation:
I (or my child/ward, if applicable) understand and agree that I (or my child/ward) will not receive any payment or other compensation for granting the rights herein. *
PLEASE INITIAL IN THE BOX
(Required.)
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4.
Waiver of Claims:
I (or my child/ward, if applicable) hereby waive any right to inspect or approve the Media or any finished product that may be created using the Media. I (or my child/ward, and on behalf of my/our heirs, executors, administrators, and assigns) hereby release and forever discharge the Organization from any and all claims, demands, actions, causes of action, damages, losses, expenses, and liabilities of any kind or nature whatsoever, whether known or unknown, arising out of or in any way connected with the use of the Media as described herein. *
PLEASE INITIAL IN THE BOX
(Required.)
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5.
Form Ownership of Media:
I (or my child/ward, if applicable) understand and agree that the Organization shall own all rights, title, and interest in and to the Media, including copyright. *
PLEASE INITIAL IN THE BOX
(Required.)
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6.
Duration of Release:
I (or my child/ward, if applicable) understand and agree that this release is perpetual and shall continue in full force and effect forever. *
PLEASE INITIAL IN THE BOX
(Required.)
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7.
Governing Law:
This release shall be governed by and construed in accordance with the laws of the State of Wisconsin. *
PLEASE INITIAL IN THE BOX
(Required.)
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8.
Content Submission:
If I (or my child/ward, if applicable) submit or otherwise provide any photographs, video recordings, audio recordings, GIFs, digital images, or other media (collectively, "Submitted Content") to the River Falls Chamber of Commerce & Tourism Bureau, I (or my child/ward, if applicable) represent and warrant that I (or my child/ward) have all necessary rights and permissions to provide such Submitted Content and to grant the Organization the rights to use it as described herein. I (or my child/ward, if applicable) hereby grant to the River Falls Chamber of Commerce & Tourism Bureau, its agents, representatives, licensees, successors, and assigns, a non-exclusive, royalty-free, perpetual, irrevocable, and worldwide license to use, reproduce, modify, adapt, publish, translate, create derivative works from, distribute, perform, and display such Submitted Content (in whole or in part) in any media now known or hereafter developed, for any purpose related to the promotion and marketing of the River Falls Chamber of Commerce and Experience River Falls, without any further consent from or payment to me (or my child/ward) *
PLEASE INITIAL IN THE BOX
(Required.)
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9.
I hereby acknowledge that I have read this Photo, Video, and Media Release Form, that I fully understand its terms, and that I have voluntarily agreed to its conditions for myself or my dependent.. *
PLEASE INITIAL IN THE BOX
(Required.)
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10.
Name of Organization
*What organization do you represent?
(TYPE N/A IF IT IS NOT APPLICABLE.)
(Required.)
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11.
First & Last Name of Participant over 18, or Parent/Guardian *
(Required.)
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12.
Email
*You may be contacted if there are questions about the information provided. Providing your email will not subscribe you to any mailing lists.
(Required.)
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13.
Are you completing the waiver on behalf of a minor - under the age of 18?
(Required.)
Yes
No
Yes, AND, on behalf of myself, the Parent/Guardian of stated minor(s)
14.
I, the parent/guardian of the minor(s) listed below, permit the minor(s) to participate in this activity, I further agree to indemnify and hold harmless releasees from any claims alleging negligence which are brought by or on behalf of minor or are in any way connected with such participation by minor.
Minor(s) First and Last Name(s), if applicable.
Please provide first and last name(s) of those under 18.
Skip if this does not apply.
Send me a copy of my responses via email