Paws for the Environment Photo Contest Online Entry

By on March 18, 2016

NOTE:  Remember once you complete your registration information, you MUST CLICK SEND, or the information will not be sent to KALB.  THEN, go to the Donate button to make your registration donation.

 

Owner's Name

Phone

Address, City, State, Zip

Email Address

Dog's Name

Primary Breed

Photo Title

I hereby irrevocably grant to Keep Athens-Limestone Beautiful, Inc., and their assigns, licensees and successors, the right to use, copyright, transmit, display, and publish my image and name in all forms and in all media now known or late developed, for all lawful purposes, including but not limited to advertising, trade or any commercial purpose throughout the world and in perpetuity. Without limiting the foregoing, my image and/or name may be copyrighted, used and/or published individually or in conjunction with other photography, video works and records, in any medium now known or later developed, including without limitation, trade, exhibition, illustration, promotion, publicity, advertising and electronic publication of any/all types now known or later developed. I waive any right that I may have to inspect or approve Keep Athens-Limestone Beautiful, Inc. to use my image and/or name in any medium that may be used in connection with the use and/or publication of my image and/or name. I release Keep Athens-Limestone Beautiful, Inc. and their assigns, licensees and successors from any claims that may arise regarding the use of my image and/or name including but not limited to any claims of defamation, invasion of privacy, or infringement of moral rights, rights of publicity or copyright. By submitting this entry form, I indicate that I have read this consent and release prior to submission. I am over the age of 18 and I am fully authorized to, and freely enter, into this consent and release contract on my own behalf.

REMEMBER: Once you have submitted your online registration form, please go to the online payment option below. Your registration is not complete until both registration and payment are received.

 

$5.00 = General Registration of Pet

$10.00 = (instead of $5) General Registration + 10 Starting Votes

Any amount over $10 will add 1 vote per $1 donated