7/29/2019 Your Prom Your Way Release Form for Minors

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Photography Consent and Release Form1

Photography Consent and Release Form

I authorize the officers, agents and employees of the District of Columbia Public Library(hereafter the Library) to photograph ____________(participants name) on

______________, 2013 (date) in the Your Prom Your Way Video Contest.

The terms photograph or photography mean any method including photography,filming, videotaping, or any other process of still image or audiovisual capturing in anymethod used now or in the future that is subject to the United States Copyright Act. (17

USC 101 et. Seq.)

I authorize the Library to permit the use and display of the photography in anypublication, display, advertisement, or promotion. I also authorize the Library to use

________________(participants name) name, likeness, biographical information, orquotes.

I grant the Library an exclusive, perpetual, worldwide license that includes making thephotography available in any format throughwww.dclibrary.orgor other Web-basedservice via podcasts (multimedia files, such as audio and/or visual distributed over theinternet using formats that allow downloading and playback on mobile devices and

personal computers).

I further grant the Library permission to make and maintain more than one copy (hard-copy and/or digital copy) of the photography for purposes of security, back-up andpreservation.

I waive and release the Library and its officers, agents and employees from any claim orliability relating to the use of ____________(participants name)name, likeness,identity, voice, photographic image, video image and oral or recorded statements in thephotography.

I agree to indemnify the Library, the District of Columbia Government, and its officers,employees, agents, successors, heirs, and assigns, for any and all claims, liabilities,damages, and expenses, including reasonable attorneys fees actually incurred, due toany claimed infringement of copyrights, trade names, trademarks, service marks, rightof publicity or privacy, or other proprietary, personal or property right arising from use ofthe photography.

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7/29/2019 Your Prom Your Way Release Form for Minors

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Photography Consent and Release Form2

I agree that the Library shall have the right to cease use of the photography at anytimewithout prior notice for any reason deemed to be in the Librarys best interest.

I understand and agree that the Library shall have exclusive ownership of the copyrightand other proprietary and property rights in the photography. To the extent required, I

hereby grant and assign all copyright in the podcast to the Library.

This Agreement expresses the complete understanding of the parties with respect to thephotography and supersedes all prior representations and understandings. I agree to,and accept, all of the terms and conditions contained herein.

I acknowledge that I have read this consent and release prior to signing it, that Iunderstand its contents, that I have the authority to consent on behalf of

________________(participants name) and I agree to let them be photographed.

Parent or

GuardiansSignature:

Date:

Address:

Telephone Number:

E-Mail:

District of Columbia Public Library901 G Street, NW, Washington, DC 20001Tel. 202.727.1101 Fax 202.727.1129 www.dclibrary.org

http://www.dclibrary.org/http://www.dclibrary.org/http://www.dclibrary.org/