Scenes from Lake Bluff (2.0)
Name
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First Name
Last Name
E-mail
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example@example.com
Select your image:
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Date the image was taken:
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Month
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Day
Year
Date
Please provide a brief description of the image, including where it was taken:
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TERMS AND CONDITIONS: I hereby authorize the use and reproduction by the Village of Lake Bluff of any and all photographs submitted by me for use by the Village of Lake Bluff. I further authorize the Village of Lake Bluff to use my image and likeness if I am in the photograph, as well as the image and likeness of the person(s) in the photograph. I agree that the Village of Lake Bluff may use, publish, or distribute these photos for any lawful purpose including both commercial purposes and non-commercial purposes. I understand no compensation will be given in exchange for the use of the photograph(s) and waive any right to royalties or other compensation arising or related to the use of the photograph(s). I hereby waive, release and relinquish all claims, demands, rights of action, damages, liabilities and controversies of every kind, known and unknown, present and future, that I, or the person(s) on whose behalf I am signing, may have against the Village of Lake Bluff and its officers, agents, servants, employees, insurers, related or affiliated individuals or entities, successors and assigns may have by reason of this authorization. I have read and fully understand the above Release and execute it of my own free will and without any reservation whatsoever.
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I Accept
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