Eustis in Bloom Contest

All fields marked with a * are required and must be filled.
Eustis in Bloom wants to see your photos with the larger than life butterfly wings that have been popping up all around Eustis!

P.S.: Pets can patriciate too.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Social Media (if you would like to be tagged)
Upload your photo(s) here!*

Cancelof
Minors (under the age of 18) who appear in photographs must have a parent or legal guardian sign this release form. Subjects 18 years and older may sign their own form.

PUBLICITY RELEASE & PERMISSION FOR USE

By signing my name below, I hereby grant the Eustis Memorial Library the right to use my photo entry and my quote in any and all of its publications (including online use, such as Facebook, the library's website, etc.)

I hereby irrevocably authorize the Eustis Memorial Library to edit, alter, copy, exhibit, publish, and distribute the photo(s) as the organization chooses. I waive any right to royalties or other compensation arising or related to the use of the photograph(s). In addition, I waive the right to inspect or approve the finished product before it is displayed. I hold Eustis Memorial Library harmless, releasing and forever discharging any and all claims, demands, and causes of actions which I, my heirs, representatives, executors, administrators, or any other persons acting on the behalf of my estate have or may have by reason of this authorization.

I am 18 years of age or older and 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.

If under the age of 18, I will have consent signed by my parent or guardian.
Name of Legal Guardian (if photo subject is under the age of 18).

First NameLast Name
Please check ALL boxes below to confirm your photo meets the contest criteria:*

I am the subject of the photo (if subject is under 18, they have parent/guardian permission to enter).My photo is sutable for viewers of all ages.I understand that my photo(s) will ONLY be eligible for printing if they meet all the criteria.
Signature*

Powered by Jotform SignClear
Please verify that you are human*
Should be Empty:

Eustis in Bloom wants to see your photos with the larger than life butterfly wings that have been popping up all around Eustis!