<form-template> <fields> <field type="header" subtype="h1" label="Terms of Use" class="header"></field> <field type="paragraph" subtype="p" label="I do hereby grant permission to Woodlands County, its agents and others working under its authority, full and free use of video/photographs containing my (or my child's) image/likeness. I understand these images may be used for promotional purposes, news, research and/or educational purposes." class="paragraph"></field> <field type="paragraph" subtype="p" label="I hereby release, discharge, and hold harmless Woodlands County and its agents from any and all claims, demands, or causes or action that I may hereafter have by reason of anything contained in the photographs or video." class="paragraph"></field> <field type="paragraph" subtype="p" label="I do further certify that I am of legal age or possess the full legal capacity to execute the foregoing authorization and release." class="paragraph"></field> <field type="text" subtype="text" required="true" label="Name" class="form-control text-input" name="text-1747347491563"></field> <field type="text" subtype="text" required="true" label="Phone Number" class="form-control text-input" name="text-1747347502329"></field> <field type="text" subtype="email" required="true" label="Email Address" class="form-control text-input" name="text-1747347523690"></field> <field type="date" required="true" label="Date" class="form-control calendar" name="date-1747347540545"></field> <field type="checkbox" required="true" label="Please check box to verify agreement" class="checkbox" name="checkbox-1747347546021"></field> <field type="paragraph" subtype="p" label="I acknowledge that [by displaying/typing my name above], I am signing this application, and I agree to be bound as if I had endorsed this document with my own handwritten signature." class="paragraph"></field> <field type="header" subtype="h1" label="FOIP (Privacy Statement)" class="header"></field> <field type="paragraph" subtype="p" label="The personal information on this form is collected under the Freedom of Information and Protection of Privacy Act and will be used to process this form. Please forward questions or concerns to the FOIP Coordinator at 1 Woodlands Lane, Whitecourt, AB, T7S 1N3. Phone 780-778-8400, FAX 780-778-8402, or email tracy.mindus@woodlands.ab.ca" class="paragraph"></field> </fields> </form-template> Submit Submitting...
