Talent Showcase Application & Release Form

Talent Showcase Application & Release Form

All entrants are required to submit this form. Make sure you read the rules at http://akphipiomega.org/talent-showcase-rules before entering.
FILL OUT THE RELEASE FORM BELOW:

Photographic, audio or video recordings may be used for the following purposes:
- Conference presentations
- Informational presentations
- Educational and/or promotional videos
- Email Blasts
- Recruiting Brochures
- Newsletters
- Magazines
- General Publications
- Websites and/or Affiliates
- All promotion vehicles including all social media sites
- Television
By signing this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the internet or in the public educational setting.

I will be consulted about the use of the photographs or video recording for any purpose other than those listed above.

There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.

This release applies to photographic, audio or video recordings collected, video clips and image, online, and Social Media channels as part of the sessions listed on this document only.

Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.

By signing this form, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.
I, *
Full Name of Entrant or Parent/Guardian (if under 18)
, grant permission to Phi Pi Omega Chapter to use my image (photographs and/or video) in media publications (herein known as “Media”) including all platforms bulleted above.

I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.

Please select the paragraph below which is applicable to your present situation:
Select One*

I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.I am the parent or legal guardian of the below named entrant. I have read the release before signing below, and I fully understand the contents, meaning and impact of this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.
Signature*

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Entrant's Full Name:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Upload Video:*

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Remember to submit this form by 11:59 pm on October 19, 2020
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