PERMISSION AND RELEASE FORM
In consideration of my participation as a content creator and competition entrant for the ArcGIS Online for Schools Competition 2017, an event initiated by Environmental Systems Research Institute, Inc (“Esri”), 380 New York St, Redlands, CA, 92373, 909-793-2853, I acknowledge and agree that the event, including (if I am selected by the school and then the state) my content and name, will be visible to the public online, and may be recorded by audio and/or visual recordings in any medium now known or later developed (the “Recordings”).
I own and/or have the full authority and rights from the owner for the use of all data, images, information, and material(s) contained in my presentation (the “Materials”). The Materials and any statements I make in my presentations and/or interviews will not infringe any proprietary rights of third persons or contain any information that is unlawful, libelous, or in violation of any person’s right to privacy and/or publicity.
I grant Esri the right to use, publicly display, perform, print, (re)distribute, (re)broadcast, and (re)publish the Recordings and the Materials, in whole or in part, including my name, in association therewith, for all current and future business purposes of Esri, including its affiliates, distributors, and business partners, without further review or permission by or any compensation to me.
I release and agree that I will not hold Esri, its directors, officers, employees and assigns, and all persons acting under Esri’s permission or authority or those for whom Esri is acting, responsible for (a) any change, distortion, or alteration that may occur or be produced in the taking, processing, or publication of the Recordings or Materials or (b) any claim arising out of any use of the Recordings or the Materials as permitted by this Permission and Release Form.
I am at least eighteen (18) years old and have the right to contract in my own name. I have read the above authorization and release, prior to its execution, and I am fully familiar with the contents thereof. This Permission and Release Form shall be binding upon me and my heirs, legal representatives, and assigns.
Date _______/______/ 2017
Name of Presenter: OR
Presenter’s legal parent/guardian:
Presenter’s legal signature: OR
Signature of legal parent/guardian:
Address:
Phone:
City:
State: Alabama
ZIP:
Email:
Please complete and sign this form. Present to the school/teacher through which the entry is being submitted.
Teachers/Schools should forward a copy of these signed forms to Tama Nunnelley at tlnunnelley@una.edu or by April 1, 2017 along with school or project registration. Schools/teachers should keep a copy for their records.
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