White Bear Events/Manitou Days ♥ 4701 Highway 61, White Bear Lake, MN
55110 ♥ www.manitoudays.org. Photo/Image/Voice/Music Release Form. A
signed ...
2013 Video Contest Photo/Image/Voice/Music Release Form A signed form must be provided for each person associated with the submitted video, including members of the work crew and any owner or originator of any materials used within the video, which includes photos, images, voice, or music. ADULT RELEASE: I hereby give White Bear Events/Manitou Days and Explore White Bear permission to publish in print, electronic and/or video format my likeness or image or voice or music for purposes of presenting and promoting a video submitted to a video contest by __________________. I release all claims against the aforesaid organizations with respect to copyright ownership and publication, including any claim for compensation related to the use of the materials. I hereby hold the aforesaid organizations harmless from any claims, demands or causes of action I or other persons acting on my behalf may have by reason of this authorization. In addition, I waive the right to inspect or approve any finished product including written or electronic copy wherein my likeness appears. Signature: ________________________________________
CHILD OR MINOR RELEASE AUTHORIZATION: I hereby give White Bear Events/Manitou Days and Explore White Bear permission to publish in print, electronic and/or video format my child’s likeness or image or voice or music for purposes of presenting and promoting a video submitted to a video contest by __________________. I release all claims against the aforesaid organizations with respect to copyright ownership and publication, including any claim for compensation related to the use of the materials. I hereby hold the association harmless from any claims, demands or causes of action I or other persons acting on my behalf may have by reason of this authorization. In addition, I waive the right to inspect or approve any finished product including written or electronic copy wherein my child’s likeness appears. Print Child’s name: ____________________________________________________________________ Guardian Signature: ____________________________________ Date: __________________________ Print Name: __________________________________________________________________________ White Bear Events/Manitou Days ♥ 4701 Highway 61, White Bear Lake, MN 55110 ♥ www.manitoudays.org
