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TRUE NORTH CLIMBING INC.
75 Carl Hall Rd #14, Toronto, ON M3K 2B9  Canada
Tel. 416-398-7625, email:  info@truenorthclimbing.com

 

PERSONAL RELEASE FORM

 

For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged,

(“you”) hereby grant to TRUE NORTH CLIMBING INC. its agents, affiliates, licensees, successors and assigns the following non-exclusive, royalty-free right, but not the obligation:

  1. to photograph and/or film the named minor(s) in motion picture, still(s) or videotape form; and to use or incorporate their name, image, silhouette, voice, identity and other reproductions of their physical likeness as the same may appear in such motion picture, still(s) or videotape form (the “Footage”) in the promotional videos entitled TRUE NORTH CLIMBING VIDEOS (the “VIDEO”); and in the promotional photographs entitled TRUE NORTH CLIMBING PROMOTIONAL PHOTOGRAPHY (the “PHOTOGRAPHY”); and
  2. to advertise, broadcast, distribute, exhibit, promote, publicize, reproduce or otherwise exploit the Footage, as part of the VIDEO/PHOTOGRAPHY or as such may be incorporated in the VIDEO/PHOTOGRAPHY, throughout the universe, in perpetuity, in all media now known or hereafter devised, with or without credit.​​

You represent and warrant that you are fully authorized to grant the rights provided for herein. TRUE NORTH CLIMBING INC. has the right, in its sole discretion, to edit the Footage for use in the VIDEO/PHOTOGRAPHY and to use or incorporate the Footage in the VIDEO/PHOTOGRAPHY in any manner or form it decides is appropriate or suitable.

 

AGREED AND ACCEPTED ON December 11, 2018

First Participant's Name

First Name*

Last Name*

Phone*
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 Legal 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 Legal Guardian's Name

First Name*

Last Name*

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