New NACD Photo Contest Entry and Photo Release Form · 2018. 1. 28. · Description of photo...
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National Headquarters 509 Capitol Court, NE, Washington, DC 20002 Phone: (202) 547-6223 Fax: (202) 547-6450 www.nacdnet.org NACD Photo Contest Entry and Photo Release Form Entry Form: (required for each photo submitted) ______________________________ ______ ___________________ Photographer’s name Age Grade (if 18 years old or younger) ____________________________ (____)_______________________ Home address Phone number _________________ __________ __________________ ________ City State County Zip ____________________________ ____________________________ Email Organization/School represented ____________________________ (____)_______________________ Name of the local conservation district Phone number of local district Select category and division for photo: Conservation Practices Adult_____ Youth_____ Close Up Conservation Adult_____ Youth_____ Conservation in Action Adult_____ Youth_____ Ag/Conservation Across America Adult_____ Youth_____ _________________________________________________________ Photo title _________________________________________________________ Where the photo was taken (Please print the city, state, and county) _________________________________________________________ Description of photo (Example: Red barn with two sheep)
Transcript of New NACD Photo Contest Entry and Photo Release Form · 2018. 1. 28. · Description of photo...
National Headquarters 509 Capitol Court, NE, Washington, DC 20002
Phone: (202) 547-6223 Fax: (202) 547-6450 www.nacdnet.org
NACDPhotoContestEntryandPhotoReleaseForm
EntryForm:(requiredforeachphotosubmitted)
_______________________________________________________Photographer’sname Age Grade(if18yearsoldoryounger)
____________________________(____)_______________________Homeaddress Phonenumber
_____________________________________________________City State County Zip
________________________________________________________Email Organization/Schoolrepresented
____________________________(____)_______________________Nameofthelocalconservationdistrict Phonenumberoflocaldistrict
Selectcategoryanddivisionforphoto:ConservationPractices Adult_____Youth_____CloseUpConservation Adult_____Youth_____ConservationinAction Adult_____Youth_____Ag/ConservationAcrossAmerica Adult_____Youth_____
_________________________________________________________Phototitle
_________________________________________________________Wherethephotowastaken(Pleaseprintthecity,state,andcounty)
_________________________________________________________Descriptionofphoto(Example:Redbarnwithtwosheep)
National Headquarters 509 Capitol Court, NE, Washington, DC 20002
Phone: (202) 547-6223 Fax: (202) 547-6450 www.nacdnet.org
PhotoReleaseForm:(requiredforeachphotosubmitted)
______________________________________________________Photographer’sname State
(____)_________________________________________________Phonenumber EmailMinors(undertheageof18)whoappearinphotographsmusthaveaparent/legalguardiansigntheirrelease;subjects18yearsandoldercansigntheirownreleaseform.IherebygranttheNationalAssociationofConservationDistricts(NACD)permissiontousemylikeness,nameorimagesIhavephotographedinanyandallpublications:includingwebsiteentries,withoutpaymentoranyotherconsiderationinperpetuity.IunderstandandagreethatthesephotoscanbeusedNationalAssociationofConservationDistricts(NACD)asstatedabove.Myphotoscanalsobeusedformypersonalorprofessionaluse.IherebyirrevocablyauthorizeNACDtoedit,alter,copy,exhibit,publishordistributethisphotoforpurposesofpublicizingNACD’sprogramsorforanyotherlawfulpurpose.Inaddition,Iwaivetherighttoinspectorapprovethefinishedproduct,includingwrittenorelectroniccopy,whereinmylikenessappears.Additionally,Iwaiveanyrighttoroyaltiesorothercompensationarisingorrelatedtotheuseofthephotograph.IherebyholdharmlessandreleaseandforeverdischargeNACDfromallclaims,demands,andcausesofactionwhichI,myheirs,representatives,executors,administrators,oranyotherpersonsactingonmybehalforonbehalfofmyestatehaveormayhavebyreasonofthisauthorization.Iam18yearsofageorolderandamcompetenttocontractinmyownname.IhavereadthisreleasebeforesigningbelowandIfullyunderstandthecontents,meaning,andimpactofthisrelease.Ifundertheageof18Iwillhaveconsentsignedbyparentorguardian.
_________________________________________________________Signatureofphotographer Date
_________________________________________________________Signatureofphotographer’sparentorlegalguardian Date
___________________________________Printednameofparentorlegalguardian
