: 2014 Calendar Photo Contest :

Thanks for participating!

NOTE: Please fill out a separate online entry form for each photo you submit.
*required field

CONTACT INFORMATION

If under 18 years of age, enter parent or guardian information.

First Name*

Middle Name

Last Name*

Street Address*

City*

State or Province*

Zip	Country, if other than US

Preferred Contact Number*

Preferred E-mail Address*

ENTRANTS UNDER 18

First Name

Middle Name

Last Name

Age

PHOTOGRAPH INFORMATION

Photo Title*

Location Taken*

Date Taken*

Description / Inspiration

UPLOAD PHOTOGRAPH

Please submit files in .jpg format, with no compression. See guidelines for sizing.

Attach Document

CONSENT, WAIVER OF LIABILITY, INDEMNITY & RELEASE

I grant irrevocable permission to Glen Helen Ecology Institute of Antioch College and its subordinates, to publish the photograph(s) I have taken and submitted for use in Glen Helen Ecology Institute of Antioch College’s promotional calendar.

I also grant irrevocable permission to allow my photograph(s) to be used, with credit, by the Glen Helen Ecology Institute of Antioch College in their marketing brochures, promotions, advertising, newsletter, website or other forms of print and electronic media without any right to royalties or other compensation to me.

I understand that if my photography is selected, it may be necessary for the photograph(s) to be altered to some extent and that blurring, distortion and color changes may occur in producing any finished product.

I agree to release, defend, and hold harmless the Glen Helen Ecology Institute of Antioch College and its subordinates, from and against any claims, damages or liability arising from or related to the use of my photograph(s).

I I waive any right to inspect or approve any finished product, advertising or other copy that may be used in connection with my photography or the use to which it may be applied.

I declare and avow that the photograph(s) I am submitting is/are my own original work(s) in all respects and that I am the sole and exclusive owner of the photograph(s).

I affirm that I am more than 18 years of age and competent to sign this contract on my own behalf, or if younger than 18 years of age have had a parent or guardian to sign on my behalf. I or my parent or guardian have read this release and fully understand its contents.

I have submitted a written description of where, when and why I took each photo and hereby give Glen Helen permission to use that description when crediting my work.

I understand that the terms herein are contractual and not a mere recital, that this instrument is legally binding, and that I have voluntarily signed this document.

I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS CONSENT, WAIVER OF LIABILITY AND RELEASE BY READING IT BEFORE SIGNING IT ON BEHALF OF MYSELF AND MY HEIRS.

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