ISW Antakshari Entry Form
Team Name *
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Name of Participant 1
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Name of Participant 2
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Name of Participant 3
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Email address of person of contact *
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Phone number *
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CONSENT, RELEASE, HOLD HARMLESS AND AUTHORIZATIONTO REPRODUCE PHYSICAL LIKENESSAs used below, “ISW” shall mean India Society of Worcester, and its officers, directors, employees, assigns, and agents (including any third party designated and approved by ISW at any time, including, without limitation, individuals or entities involved in print, publication, television, broadcast, or video media). As used below, “Participant” shall mean any individual, student, mentor, teacher or volunteer involved in an ISW event. In consideration of the acceptance of my participation in any ISW event and related programs, meetings (collectively, the “Event"), I agree to the following:I hereby grant to ISW the right to photograph and/or videotape me during my participation in an Event. I further grant to ISW, forever and throughout the world, the right to use these photographs and videotapes of my likeness, voice and sounds during my participation, and to reuse or license the right to reuse such photographs and videotapes of my participation, and my name, likeness and biography, as ISW may desire, in all media and in all forms and for all purposes, including without limitation, advertising and other promotions for ISW without compensation to me or any limitation whatsoever. In granting this license, I understand that ISW is not under any obligation to exercise any of their rights, licenses and privileges herein granted. Each such photograph and videotape shall be deemed the property of ISW as the owner of any copyright and/or trademark rights therein (and all applications, registrations and renewals resulting there from). It is ISW policy not to print a minor’s picture accompanied by his/her name unless ISW obtained specific permission from his/her parent or guardian.I understand that this form involves a release of legal rights.
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