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Mixed Baseball Tournament
Audio/Visual Team Release
June 20, 2015
Team Name:
Team Captain:
I understand that by authorizing this Audio Visual Release form, on behalf of _______________________, I am
irrevocably releasing the use of any likeness dialogue which has been recorded of the 2015 Mixed Baseball
Tournament for Give A Miracle A Chance, its executive, volunteers and its affiliated corporations and their
respective Executive, employees, agents and all other participants and sponsors for any multi-media purpose
that could include reproducing it on our website, or any other printed media associated with the organization,
such as promotions, single images, or as wallpaper.
All audio visual records, recordings, negative and/or slides together with any prints shall constitute the property
of Give A Miracle A Chance, solely and completely.
Give A Miracle A Chance respects your privacy. We protect your personal information and adhere to all
legislative requirements in protecting your privacy. We do not rent, sell, or trade our mailing lists. We see your
personal information to provide services to keep you informed and up to date on our activities.
Team Captain
(Please Print)
Team Captain
(Signature)
THANK YOU FOR YOUR SUPPORT
Registered Charity # 82458 3017 RR0001
Date:
** By signing this form in consideration of Give A Miracle A Chance granting permission to participate in the above named event and all
other activity associated or related to said event, I/we shall be responsible for the actions of my team allowed or invited to the event while
Give A Miracle A Chance is entitled to use the facility. I hereby, release Give A Miracle A Chance, its executive, volunteers and its affiliated
corporations and their respective Executive, employees, agents and all other participants and sponsors, and the Town of Georgina from all
manner of actions, causes of actions, suits, losses, damages, or injuries caused by negligence or otherwise, (whether brought by myself/us
or any other person) arising out of our use of the facility and we also indemnify Give A Miracle A Chance, its executive, volunteers and its
affiliated corporations and their respective Executive, employees, agents and all other participants and sponsors, and the Town of Georgina
for any losses or damages sustained by myself/us or any other person as a result of such actions or proceedings being commenced against
them by myself/us or any other such person; and any liability for loss, injury or death arising directly or indirectly from any act or failure to
act (including, without limitation, acts or omissions which constitute negligence) and arising out of my participation in the above named
event or any activity associated with the charity.