Zine Submission Release of Information for Publicity

Release of Information for Publicity

Vibrant Communities Calgary frequently uses video, photographs, thank you letters, personal stories, and/or other identifying material in order to engage Calgarians in advocating for long-term strategies that address the root causes of poverty in Calgary. Vibrant Communities Calgary requests your consent to use the content you’ve created and uploaded.
Name or name of guardian if under 18-years old *

First NameLast Name
I {nameOr} hereby consent and agree that Vibrant Communities Calgary, its employees, or agents have the rights to use my content in photographs, videotape, digital or printed creations, or digital recordings in any and all media, now, or hereafter known, and exclusively for the purpose of advocating long-term strategies that address the root causes of poverty in Calgary. I further consent that my name and identity may be used for follow-up communications, such as email.

I understand that there will be no financial or other remuneration for my content, either for initial or subsequent use.
Email*
example@example.com
I consent to the collection and use of my information by Vibrant Communities Calgary. I understand and agree that my information will be kept confidential and will not be shared with external third parties.

Agree
Signature of individual or guardian *

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