Model Release Form This form is used for individuals participating in DTLB Alliance photo and video opportunities. Model Name(Required) First Last Model Email(Required) Enter Email Confirm Email PhoneTitle of Program this Release is Associated With(Required)(i.e. Taste of Downtown, Unfiltered, Roller Disco, New Year's Eve)Date(Required) MM slash DD slash YYYY Model Release Terms and Conditions(Required)I understand that I appear in a photograph or photographs, video or videos taken in association with a Downtown Long Beach Alliance (DTLB Alliance) program. I hereby give permission to the DTLB Alliance to use my name and that photographic likeness in publications. I also hereby give the DTLB Alliance (and those authorized by the DTLB Alliance) a royalty-free, world-wide, perpetual, non-exclusive license to publicly display, distribute, reproduce and create derivative works of that entry (including my name and photographic likeness), in whole or in part, in any media now existing or later developed, for any purpose, including, but not limited to, advertising and promotion of the organization and its website, exhibition, and commercial products, including but not limited to DTLB Alliance publications. I understand that I shall not receive any compensation for these uses and that the DTLB Alliance is under no obligation to use the entry in any way. I waive any claim or right of action arising out of the uses described in this release. I agree to the competition terms and conditions.Initials(Required)Please type your initials to confirm. PARENT OR GUARDIAN SECTION BEGINSOnly fill out the following sections if the model listed above is under 18 years of age. Parent or Guardian Name First Last Parent or Guardian Email Parent or Guardian Consent I agree to the privacy policy listed above. I have read this release and approve of its terms in full.Parent or Guardian InitialsPlease type your initials to confirm. PARENT OR GUARDIAN SECTION ENDSCAPTCHA
