Gymnastics BC - GymBC Image Release Form

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Gymnastics BC (GymBC) requires written consent to allow personal photos and videos to be used for GymBC promotional and marketing purposes. These purposes include, but are not limited to: social media content, brand publications, reports, websites, documents and manuals, etc.

The consent of a parent/guardian of individuals under the age of 19 is also required.

Media consent can either be submitted via this form or sent to: communications@gymbc.org.

Consent may also be submitted to GymBC staff members as directed by specific communication.

Individual over 19 or Parent/Guardian's Information

You will receive a confirmation by email.

First name *

Last name *

Email *

Mobile

Date of birth

Individual over 19 or Parent/Guardian's Gender Identity

Child's Information

First name

Last name

Date of birth

Child's Gender Identity

Does the individual participant belong to a Gymnastics BC member club? *

Yes No x Clear

Please Select the GymBC Member Club *

What club does the individual participant belong to and what province is it located in? *

Individual Over 19 or Parent/Guardian

I, the undersigned, and/or the parent/guardian of the minor person named above, agree that any photograph, work expressed by any process analogous to photography, video or cinematographic film (the Work) produced by, at the request or under the direction or control of Gymnastics BC, and in which I, or the minor person, appears may be used, reused, adapted, altered, cropped, produced, reproduced, published, republished, distributed to the public, communicated to the public by telecommunication, publicly presented as a cinematographic work, presented at a public exhibition, preserved, used, copyright, conserved or archived by Gymnastics BC, their representatives, member clubs, assigns, employees and agents and any person acting under their authority, for any purpose related to departmental programming and its promotion throughout the world and indefinitely including but not limited to, in any publication, broadcast, posting on the Internet (Web) advertising or display.

I, and/or the minor person, grant to Gymnastics BC, the right to use, without payment of any fee, charge, or compensation of any kind, including royalties, any and all written information (not including information contained in Medical Forms), about myself taken during competitions, training, and/or events organized by them for, promotional purposes, and I also agree to waive any right to approve such use now and in the future.

I, and/or the minor person, agree not to receive compensation or other payment of any kind, including but not limited to, any royalties for the use of the Work or of any of its material components. I, or the minor person, further waive any right to inspect or approve the content or use of the Work.

I, and/or the minor person, hereby forever release and discharge Gymnastics BC, their representatives, assigns, employees, agents and any person acting under their authority of any claims of any kind arising out or in connection with the use of the Work, or of any of its material components, including, without limitation, any and all claims for invasion of privacy, the collection, use, disclosure, publication, sale, distortion of the Work, passing off, misappropriation of personality and libel.

I declare that I have read and understood the foregoing release and authorization before signing below. *

Electronic Signature *

Individual Over 19 or Parent/Guardian

Date *

Athlete/Participant (ages 13 and older)

I, the athlete/participant, understand, acknowledge, and agree to the terms and information outlined in this form.

I read and understand. *

Electronic Signature

Please sign your name inside the box

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Please accept all conditions.

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268-828 West 8th Ave, Vancouver, BC, V5Z 1E2 604-333-3496

gymbc.org info@gymbc.org