Permission Slip for Volunteers aged 14-17
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Volunteer Information
Volunteer's First Name *
Volunteer's Last Name *
Volunteer's Date of Birth *
Parent/Guardian Information
Parent/Guardian Name (First and Last) *
Parent/Guardian Email *
Parent/Guardian Phone Number (cell) *
Media Rights Release
By signing below, and for the good and valuable consideration of participating in an event hosted by Calvary 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 Calvary Church (“Calvary”), a PA nonprofit corporation, to record, by writing, by video, photographic, or audio recording device, or by any other analog or digital means, the actions, physical likeness, biographical information, and/or voice of the minor listed above. Additionally, I hereby grant to TTF and Calvary, 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 Calvary, and to any benefits inuring to TTF and Calvary as a result of its use of any of the foregoing recordings. Among other things, TTF and Calvary 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 Calvary, for the advancement of TTF and Calvary exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and Calvary and bind me and my heirs, successors, and assigns. I, hereby release and discharge and agree to hold harmless TTF and Calvary, 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 recordings or use of 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.

By typing my name below, I give my permission for the minor listed above to participate as a volunteer at the 2023 Night to Shine, sponsored by the Tim Tebow Foundation at Calvary Church on Friday, February 10, 2023.

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