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For the right to be affiliated with Town
of North Hempstead, including but not limited to entering an event sponsored by Town of North
Hempstead or any of its clubs, districts, youth programs, or any other affiliation with Town of North
Hempstead, and for other
consideration, the undersigned hereby irrevocably permits, authorizes and licenses to Town of North
Hempstead to display, publicly
perform, exhibit, transmit,
broadcast, reproduce, alter, exploit, license,
otherwise use and permit others
to use the undersigned's name, image, likeness
and appearance, on a
perpetual basis throughout the world and in any medium or format whatsoever now existing or hereafter created, including but not limited to, in and on print publications, electronic, magnetic
and optical media, Audio and Audiovisual works, display,
point-of-sale and other advertising and promotional materials, press releases, the internet, and in any other mediums
for promotional purposes
and any purpose, without further consent or royalty,
payment or other compensation to the undersigned, and without any further consents
or consideration.
For persons under 18 years
of age, or for individuals who have power
of attorney for persons over 18 years
of age:
I am the parent or legal
guardian of the minor or individual named
above. I have the legal right
to consent to and, by checking below,
I hereby do consent to the terms
and conditions of this Publicity
Waiver and Release.