By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application.
Additionally, by signing you are agreeing to and giving consent that North River Prevention Partners (NRPP) and their respective affiliates, subsidiaries, licensees, successors and assigns may use any video, still photo, or voice recordings taken of me during my time as a NRYC ambassador, or any reproduction thereof, in any form, style, or color, or media, together with any writing and/or other advertising and/or publicity material in connection therewith, including the use of my name as they may select. NRPP shall be the exclusive owner of such taping, photography, and recording with the right, throughout the world, an unlimited number of times in perpetuity, to copyright, to use, and to license others to use, in any manner, all or any portion thereof or of a reproduction thereof in connection with NRPP or otherwise.
When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Thank you for your submission.