Alumni Association Chapter Name: OC Guide Dogs
PUBLICITY RELEASE
GUIDE DOGS FOR THE BLIND, including its agents, assigns,
representatives, affiliates, alumni chapters, or partners, may wish to
use photos, videos, or audio files of participants at events/locations
where our dogs, staff, graduates, or puppy raisers are present. A
participant’s image, photograph, photographic image, name,
testimonial, and/or likeness (conventional or digital and through any
medium) (collectively referred to as “Image”) may be used in any and
all promotional media, including but not limited to: newsletters,
brochures, websites, blogs, fundraising materials, social media
channels, press coverage, promotional videos, public service
announcements, etc. Participants will not be notified before an Image is
used.
This Publicity Release does not cover the choice of other participants
from capturing your Image while at the same event/location. GUIDE
DOGS FOR THE BLIND will not be responsible for the use of your Image
by individuals not acting on its behalf.
Please place an “X” after each of the statements you agree to, and
sign in the space provided to give us permission to reproduce your
likeness:
- FULL PERMISSION FOR PUBLICITY: The undersigned does hereby
grant a worldwide right to use, alter, and reproduce my Image for
promotion or publicity purposes, or to otherwise promote GUIDE DOGS
FOR THE BLIND to the public from the date signed and in perpetuity. I
also understand that no compensation will be paid to me for the use of
my Image. Minors must have a parent or guardian’s signature. - DENIAL OF PERMISSION FOR PUBLICITY: I do not want my Image
used for promotional or publicity purposes by GUIDE DOGS FOR THE
BLIND.
PLEASE PRINT
Date:
Name:
Email:
Signature:
Parent signature for minors under 18 years of age:
Termination of Permission:
A participant may terminate the permission given here by giving
written notice to an officer of the Alumni Chapter or Theresa Stern, VP
Interdisciplinary Client Services and Engagement,
tstern@guidedogs.com and allowing 5 business days for confirmation
of receipt of the termination. After a termination request is received,
GUIDE DOGS FOR THE BLIND will stop all future use of the participant’s
Image, but will not undertake to remove or recall any pre-existing or inprocess uses of the Image.
Printable link
ASSUMPTION OF THE RISK & WAIVER OF LIABILITY
GUIDE DOGS FOR THE BLIND (“GDB”) and its affiliates such as Alumni Chapters and Puppy Clubs organize many in-person events which may be held in public parks, business establishments or on GDB private property. There may be conditions present in the event location that could lead to injury to participants, including but not limited to: uneven pavement or unpaved ground, cars/scooters/carts, tripping hazards, the presence of trained or untrained dogs, low or poor lighting, etc. GDB will endeavor to take reasonable steps to reduce the danger posed by these conditions. However, GDB cannot guarantee that you will not be injured while participating in an event.
Assumption of the Risk
I acknowledge the nature of GDB events includes conditions that are constantly changing and are further described above. I voluntarily assume the risk that I may be exposed to such conditions and those conditions may result in my own personal injury, serious illness, permanent disability or death. I understand that the risk of my own injury may result from the actions, omissions, or negligence of myself and others, including but not limited to GDB, GDB’s employees, volunteers, alumni, and other participants.
Waiver of Liability
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself and anyone else I bring to a GDB event, including, but not limited to, personal injury, illness, disability, death, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my visit to a GDB event (“Claims”) or that may be experienced or incurred by anyone that I bring to a GDB event. I hereby release, discharge, covenant not to sue, and hold harmless GDB, its insurers, owners, officers, employees, affiliated entities, successors, agents, Board of Directors, and representatives (“Released Parties”), of and from any Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of GDB, GDB’s employees, volunteers, alumni, and other participants. I will also indemnify GDB from any claims made by anyone else due to my actions or that are asserted by any person I have brought to a GDB event.
By signing below, I forfeit all right to bring any and all Claims against the Released Parties, for any reason. In return, I will be permitted to visit GDB events. I will also make every effort to follow all safety precautions posted, explained to me verbally, and/or that are reasonable in order to complete the tasks for which I am present for an event. In addition, I will ask for clarification or assistance when needed. I understand that if I am unable or unwilling to follow these instructions, I will be asked to leave and return when I am able to do so.
I maintain my own insurance coverage to cover myself and any others who I have brought to a GDB event. If any such insurance is lapsed or does not apply, I affirmatively assert that I will remain personally liable for any Claims released and waived herein.
I (Print Name),
fully understand and agree to the above terms.
Date:
Signature: