Night to Shine Parent/Caretaker Media & Liability Rights Release
By signing below, and for the good and valuable consideration of participating in an event hosted by OceanPointe Christian Church, and sponsored in part by or associated with the Tim Tebow Foundation, I hereby give my full consent to Tim Tebow Foundation, Inc., (“TTF”) a Georgia nonprofit corporation headquartered in Florida and OceanPointe Christian Church (“OPCC”), a Rhode Island nonprofit corporation, to record, by writing, by video, photographic, or audio recording device, or by any other analog or digital means, my actions, physical likeness, biographical information, and/or voice. Additionally, I hereby grant to TTF and OPCC, without royalty or other compensation now or in the future, all rights of every kind and character whatsoever, in perpetuity, in and to any and all such recordings, along with any additional recordings I might provide to TTF and OPCC, and to any benefits inuring to TTF and OPCC as a result of its use of any of the foregoing recordings. Among other things, TTF and OPCC may, but are not required to, copy or reproduce the recording, edit or modify it, incorporate it into another work, display or broadcast it or any of the foregoing privately or publicly, and use or license it or any of the foregoing for use by others, all for the sole benefit and at the sole discretion of TTF and OPCC, for the advancement of TTF and OPCC’s exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and OPCC and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and OPCC, its directors, officers, employees, volunteers, and independent contractors, from any and all claims or damages, including but not limited to defamation or violation of rights of privacy or publicity, arising from or associated with the recording or use of the recordings. This release shall be construed, interpreted and governed in accordance with the laws of the State of Florida, and should any provision of this release be determined invalid, such invalidity does not affect any of the remaining provisions. I am of full age and have the right to contract in my own name.
Email address *
Name of Parent/Caretaker *
Your answer
Date *
Signature of Parent/Caretaker *
Your answer
Address *
Your answer
Telephone Number *
Your answer
City/State/ZIP *
Your answer
Email *
Your answer
Name of Participant *
Your answer
If guest has multiple individuals staying to enjoy the Respite Room, a media release MUST be filled out for each person.
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