MoMathlon Photo Release Form
Required form for all students participating in the MoMathlon middle school tournament, hosted by the National Museum of Mathematics.
Sign in to Google to save your progress. Learn more
Email *
Which regional tournament will your child be participating in? *
Student's First Name *
Student's Last Name *
Student's Email Address *
Student's School Name *
Your full name *
Your email address *
What is your relationship to the student? *

I am a parent or legal guardian of the minor named above, and I agree that such minor and I are bound by the following terms of this release:

======

In which "I" refers to the student named on this form, who is registered for the MoMathlon,

In consideration of my wish to participate in the MoMathlon, a middle school mathematics tournament, and related activities of the National Museum of Mathematics, I agree:

(1) that the National Museum of Mathematics (or its representatives) may photograph me during my visit to the MoMathlon;

(2) that I irrevocably grant the National Museum of Mathematics (and its licensees and assigns) the worldwide right in perpetuity to use my name, and my likeness as depicted in the Photographs in materials related to the National Museum of Mathematics’ educational and charitable mission, including the right to reproduce, distribute, modify, and publicly display the Photographs in any medium now known or later developed, including, promotion and fundraising for the National Museum of Mathematics.

(3) on behalf of myself, my heirs, family members, and executors, I irrevocably release the National Museum of Mathematics from any claim of any nature, known or unknown, that I have or ever may have (including for invasion of privacy, libel, slander, portraying me in a false light, or breach of my right of publicity) based on use of the Photographs or my name or likeness as described.

I understand that the National Museum of Mathematics will rely on this release and that I may not revoke my permission or release. These terms are governed by the laws of the State of New York applicable to releases.

======

Providing permission for MoMath to photograph your child and to release MoMath to use such photos is OPTIONAL and is not required for participation in the MoMathlon.  However, it is strongly encouraged as many students are pleased to see themselves in the winners' photos, standing alongside their teammates on the MoMath website.

By choosing "No, I do not consent," the named student will be asked to wear a "no-photos" identifier during the competition and will be asked to step out of photo opportunities during the award ceremony.

By choosing "Yes, I give permission," you are agreeing to allowing your child to remain in the photos of winning teams/individuals and for such photos to be published to the MoMathlon winners page. 

To view how student names and photographs have been published for previous tournaments, please visit: https://momath.org/momathlon/results.

*
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy