MILLER & MILLER HIGH SCHOOL SENIOR SCHOLARSHIP
CONSENT AND MEDIA RELEASE FORM
*THIS FORM MUST ACCOMPANY EACH CONTEST SUBMISSION* Please carefully read this Consent and Media Release Form in its entirety. If under 18, this form must be signed by both you and your legal guardian.
This Consent and Release Form, together with the Official Contest Rules, form a binding agreement relating to you or your minor child’s participation in Miller & Miller’s Video Scholarship Contest (the “Contest”). You will not be eligible to participate in the Contest until a completed and signed Consent and Release Form is received by Miller & Miller (the “Sponsor”).
Contest Submissions not accompanied by the completed and signed Consent and Release Form will not be considered.
1) I represent and warrant that I have read, understood, and agree to be bound by the Official Contest Rules located at www.millermillerlaw.com/scholarship-for-high-school-students. I acknowledge and agree that I am the Participant submitting an entry to this Contest, or the parent or legal guardian of a minor (person under the age of 18) Participant in the Contest, and will be bound by the Contest Rules and this Consent and Release Form;
2) I represent and warrant that I am the Participant or parent or legal guardian of a minor Participant in the Contest and my minor child meets all eligibility requirements listed in the Contest Rules;
3) I understand and agree that I am the Participant or the parent or legal guardian of a minor Participant in the Contest and that my name or minor child’s full name, age, grade level, city, state, image, and Contest Submission may be disclosed and displayed publicly (off line, online, on social media sites, in press releases, in advertising, in promotions, etc.) without any additional notice or financial compensation, or that I and/or my minor child may be required to participate in any media or promotional events related to the Contest.
4) I understand and agree to provide certain rights and releases to the Sponsor as described in the Contest Rules;
5) I hereby warrant that I am the Participant or the parent or legal guardian of a minor child Participant in the Contest or Depicted Person, and that I have the full authority to give consent, to release, and to contract for myself or my minor child. I also agree to provide any additional information or to execute any additional form(s) that are necessary for me and/or my minor child to be eligible to participate in the Contest and/or for the school entering the Contest to claim a prize.