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READ CAREFULLY BEFORE SIGNING. YOU MUST BE 18 YEARS OF AGE OR OLDER TO SIGN THIS AGREEMENT.

 

EACH ADULT MUST SIGN THEIR OWN AGREEMENT.

 

THIS AGREEMENT MUST BE COMPLETED BY THE PARENT OR COURT-APPOINTED LEGAL GUARDIAN OF ANY PARTICIPANT(S) UNDER THE AGE OF 18.

 

Except where otherwise indicated by the context, all uses of the words “you”, “your”, or other words in the singular shall be deemed to include yourself and your child or children, as applicable. For example, for a parent/legal guardian signing of behalf of two participants under the age of 18, the phrase “the use of your image” shall be read as “the use of your and/or your children's images”.

 

PERSONAL MEDIA 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 you in motion picture, still(s) or videotape form; and to use or incorporate your name, image, silhouette, voice, identity and other reproductions of your 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 October 24, 2020 

First Your Name

First Name*

Last Name*

Phone*
First Your Date of Birth*
First Your Signature*
Second Your Name

First Name*

Last Name*
Second Your Date of Birth*
Third Your Name

First Name*

Last Name*
Third Your Date of Birth*
Fourth Your Name

First Name*

Last Name*
Fourth Your Date of Birth*
Fifth Your Name

First Name*

Last Name*
Fifth Your Date of Birth*
Sixth Your Name

First Name*

Last Name*
Sixth Your Date of Birth*
Seventh Your Name

First Name*

Last Name*
Seventh Your Date of Birth*
Eighth Your Name

First Name*

Last Name*
Eighth Your Date of Birth*
Ninth Your Name

First Name*

Last Name*
Ninth Your Date of Birth*
Tenth Your Name

First Name*

Last Name*
Tenth Your Date of Birth*
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*

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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