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PHOTOGRAPHIC AND WORK PRODUCT RELEASE AGREEMENT

The Photographic and Work Product Release Agreement (this “Agreement”) is executed on the date of this submission by and between the participant(s) for the benefit of Community Initiatives, a California nonprofit public benefit corporation, its directors, officers, employees, and agents.

Community Initiatives is the fiscal sponsor or a project called Latino Outdoors. In consideration of Participant’s participation in the Activities, Participant hereby irrevocably grants to  Latino Outdoors, its directors, officers, employees, participants, agents, and assigns (collectively, the “CI  Grantees”) the absolute right and permission to record, edit, use, publish, display, and print Participant’s name,  picture, voice, or likeness, and information related to Participant’s participation in the Activities whether  captured by photograph, videotape, audiotape, or any other recording (collectively, “Image”) for any promotional  purposes related to the Project or Community Initiatives. Participant hereby waives any right that she or he may  have to inspect or approve any materials that incorporate Participant’s Image and hereby grants and conveys to  Community Initiatives all right to, title to, and interest in any and such materials, including, but not limited to, any  royalties, proceeds, and/or other benefits derived from such materials.  

Participant does hereby grant and convey to Community Initiatives all right to, title to, and interest in  any and all intellectual property created on behalf of and/or for the benefit of the Project of Community  Initiatives, including, but not limited to, any royalties, proceeds, and/or other benefits derived from such  property. Participant hereby releases, discharges, and agrees to hold harmless the CI Grantees from any and all  claims, damages, liabilities, costs, and expenses (including reasonable attorneys’ fees) that Participant has or may  hereafter have by reason of any use of Participant’s Image.

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*
Parent or Guardian's Email Address

Email*

Confirm Email*

Under penalties of perjury, I hereby certify to Community Initiatives that I am the parent or the legal guardian of minor(s) named above (“my child”). (Capitalized terms used but not defined here have the same meaning as in the Waiver and Release Agreement itself.)

I hereby request that Community Initiatives permit my child to take part as a participant in the Activities, and I give my full consent to such participation. Furthermore, in consideration for such permission, I hereby make the following statements and agreements:

1.  I have read, understand, and agree to the entire Waiver and Release Agreement, including any Addenda, signed by my child (the “Agreement”), including all descriptions of what my child’s participation in the Activities may involve and the risks to my child of such participation. I have had the opportunity to ask questions about it and to discuss it with my attorney.

2. I confirm that all representations, warranties, and covenants made by my child in the Agreement are true, accurate, and complete as of the date my child signed the Agreement.

3. Without limiting anything else in this Addendum, I specifically agree and consent to the provision of medical treatment for my child and agree that I and not Community Initiatives or CI Personnel shall pay all costs arising from or in connection with such medical treatment.

4. I will cause my child to comply with all obligations that the Agreement requires of my child.

5. I agree not to contest the legal validity and binding legal nature of my child’s representations and agreements under the Agreement, notwithstanding that my child was a minor at the time my child signed the Agreement.

6. I agree, to the fullest extent permitted by law, to waive and release, defend, indemnify, and hold harmless Community Initiatives and all CI Personnel against any losses, claims, or expenses, in any form and to any extent, that such party may incur as a result of any misrepresentation made by my child in the Agreement or any failure by my child to uphold any obligation or agreement thereunder, including without limitation any action by my child to contest the legal validity or enforceability of the Agreement or any part thereof. 



PARENT/GUARDIAN ADDENDUM TO PARTICIPANT WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT Under penalties of perjury, I hereby certify to Community Initiatives that I am the parent or the legal guardian. I hereby request that Community Initiatives permit my child to take part as a Participant in the Activities, and I give my full consent to such participation. Furthermore, in consideration for such permission, I hereby make the following statements and agreements: I have read, understand, and agree to the entire Agreement signed by my child (the "Agreement"), including all descriptions of what my child's participation in the Activities may involve and the risks to my child of such participation. I have had the opportunity to ask questions about it and to discuss it with my attorney. I confirm that all representations, warranties, and covenants made by my child in the Agreement are true, accurate, and complete as of the date my child signed the Agreement. Without limiting anything else in this Addendum, I specifically agree and consent to the provision of medical treatment for my child as described in and under the terms of Section 5 of the Agreement and agree that I and not CI or CI Personnel shall pay all costs arising from or in connection with such medical treatment. I will cause my child to comply with all obligations that the Agreement requires of my child. I agree not to contest the legal validity and binding legal nature of my child's representations and agreements under the Agreement, notwithstanding that my child was a minor at the time my child signed the Agreement. I agree to indemnify and make Community Initiatives and all CI Personnel against any losses, claims, or expenses, in any form and to any extent, that such party may incur as a result of any misrepresentation made by my child in the Agreement or any failure by my child to uphold any obligation or agreement thereunder, including without limitation any action by my child to contest the legal validity or enforceability of the Agreement or any part thereof.

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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