<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, the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of the video/photographs containing my (or my child's) image/likeness for use in connection with the activities of the County or for promoting, publicizing or explaining the Municipality or its activities." class="paragraph"></field> <field type="paragraph" subtype="p" label="This photo release form includes, without limitation, the right to publish such images in the County, magazine, and promotional materials, such as, but not limited to marketing admissions, publications, advertisements, fund-raising materials, and any other County related publication." class="paragraph"></field> <field type="paragraph" subtype="p" label="These images may appear in any of the wide variety of formats and media now available to the County and that may be available in the future, including but not limited to print, broadcast, video, storage device, and electronic/online media." 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 information on this form is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act (&quot;the Act&quot;) and will be used solely for promotional, news, research and/or educational purposes. It will be treated in accordance with the privacy protection provisions of Part 2 of the Act. 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...
