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This form gives College Church permission to use still images of your likeness in marketing materials.

College Church Photo Release

 

I hereby grant to The College Church of the Nazarene, Inc. (CCN), a Kansas corporation, and those acting pursuant to CCN’s authority, the right to use my photograph(s), without my name in conjunction with its exhibition, on its website or in other official church publications, printed, online, or otherwise, without further consideration.

 

I acknowledge the church has the right to crop or treat the photograph(s) at its discretion.

 

I also acknowledge that the church may choose not to use my photograph(s) at this time, but may do so at its own discretion at a later date.

 

I also understand that once my image is posted on the church’s website, the image can be downloaded by any computer user, anywhere in the world. 

 

Therefore, I agree to indemnify and hold harmless the church, its pastor, associate pastors, its church board members and designees from any claims arising out of the use of my photograph(s).

 

The church reserves the right to discontinue use of any photograph(s) without notice.

If a dispute over this agreement or any claim for damages arises, I agree to resolve the matter through a mutually acceptable alternative dispute resolution process. If I cannot agree with Church upon such a process, the dispute will be submitted to a three-member arbitration panel of the American Arbitration Association for final resolution.

 

By signing this document, I understand that:

The photographs will only be used for not-for-profit purposes
The photographs cannot be edited or changed in any way without the consent of CCN
The photographs become the property of CCN
I waive the right to inspect or approve the finished product, including written or electronic copy, where my likeness appears

My name will not be published in conjunction with my likeness.

RENUMERATION: It is understood between both parties that there will be no renumeration.

 

 

 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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