Video Release Form-The Hershey Company - Cocoa Kayak printable pdf download

For and in exchange of valuable consideration, the sufficiency of which is

hereby acknowledged, and with the intent to be legally bound, I hereby grant the rights to

publish my name, attributes, image, biography, statements, performance, photo, video, or

other audio or visual image (“Images”) and hereby:

(1) warrant and represent that I am over the age of eighteen (18) and have the right to

contract in my own name; or are the parent or guardian of undersigned and grant

permission of said person under 18

(2) grant to Cocoa Kayak Rental of Hershey (herein Cocoa Kayaks) and/or those acting

within Cocoa Kayaks authority, any and all perpetual rights to edit, use, publish, license

or transfer, and/or broadcast throughout the universe, the Images in any advertising,

promotional and/or publicity materials, in any and all media now known or

hereafter devised, for the purpose of advertising, promoting and publicizing the products

and/or services of Cocoa Kayaks and for any other purpose;

(3) acknowledge that (a) I have no right of review or approval of the Images; and (b)

Cocoa Kayaks is in no way obligated to use the Images; and (c) if Cocoa Kayaks uses the

Images, Cocoa Kayaks is in no way obligated to identify me by name or otherwise

attribute any acknowledgement of me;

(4) agree that I release, discharge, and hold harmless Cocoa Kayaks and their respective

officers and employees/agents, from any and all liability resulting from the use of the

Images in accordance with the terms hereof, including but not limited to claims for libel

or invasion of privacy;

(5) agree to sign any and all other documents that Cocoa Kayaks or its agents may require

relative to the Images;

(6) agree that this release shall be governed by the laws of the Commonwealth of

Pennsylvania;

(7) agree not to post, upload, download, reproduce, distribute, copy, sell, publish,

broadcast or circulate the submitted essay or

video, whether or not its has been submitted to the promotion.

(8) I have read the above terms and fully understand the contents thereof.

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Video Release Form-The Hershey Company - Cocoa Kayak