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TALENT RELEASE AGREEMENT

I hereby authorize Nose Creek Sports and Recreation Association o/a Vivo for Healthier Generations and its representatives to videograph/photograph or otherwise capture my photo, video, audio and written or verbal statements (collectively the "Recordings").

I understand that the Recordings may be used by Vivo for Healthier Generations and its representatives for marketing, public relations and promotional activities in perpetuity from the date consent is granted. I voluntarily give my consent and authorize Vivo for Healthier Generations and its representatives to use, reuse, distribute or publish the Recordings in any or all of its videos, publications, reports, documents, promotions, advertising, printed or electronic materials (collectively the "Materials"), including posting the Recordings on social media or online. I relinquish any and all personal or proprietary rights I may have in connection with such use. I understand that I will not receive any compensation should the Recordings be used.

I understand that I may revoke this consent at any time by contacting Vivo for Healthier Generations at 403-567-4464. If I revoke my consent, I agree that Vivo for Healthier Generations and its affiliates will not be required to destroy or stop using any Materials that have been or are currently being mass produced for circulation among the general public, prior to my revocation.

In consideration of my use of the services provided I hereby release and hold harmless Vivo for Healthier Generations, its affiliates, their agents, employees, officials representatives and contractors from any and all claims or liability or damages arising from the use, reuse, distribution or publication of the Recordings. I am over the age of 16 (sixteen) years.

IF THE PERSON IS UNDER THE AGE OF 16 (SIXTEEN), THE PARENT OR GUARDIAN OF SUCH PERSON SHALL AUTHORIZE THE FOLLOWING:

I, the undersigned, for good and valuable consideration the receipt and sufficiency of which is hereby acknowledged, hereby warrant that I am the parent or guardian of the minor(s) featured in the Recordings, having read and understood the contents of this document do hereby consent to those matters stated above and hereby irrevocably release and agree to indemnify Vivo for Healthier Generations and its affiliates from any and all liabilities of any kind in connection with the use of Recordings as contemplated above.

I have read and agree to the terms above.

Today's Date: September 19, 2019

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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*

Last Name*

Relationship*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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