Parental Consent and Release Form

We Solve Problems Essay Contest
ACKNOWLEDGEMENT AND RELEASE FORM
PARENTAL ACKNOWLEDGMENT AND RELEASE FORM
I have reviewed and agree to all of the terms in the We Solve Problems Essay Contest Official Contest Rules, the terms
of which are incorporated by reference herein, and a copy of which has been posted on www.gertsburglaw.com/essay on
February 15, 2016 at 9:00 a.m. ET.
__________________________________ ________________________________________
(Printed Name of Student)
(Student Signature)
PARENTAL ACKNOWLEDGMENT AND RELEASE FORM
I am the parent or legal guardian of _________________________, student ID _____________________, at
______________________________ High School.
I have reviewed and permit my child to agree to all of the terms in the Official Contest Rules. I represent that my child is
eligible for participation in the We Solve Problems Essay Contest (“Contest”) in compliance with the Official Contest Rules.
I warrant and represent that my child’s submission is original, has been legally obtained and created, and does not infringe on
the intellectual property, privacy, or publicity rights or any other legal or moral rights of any third party, or violate applicable
laws or regulations.
My child and I forever waive any rights of privacy, intellectual property, and any other legal or moral rights that may preclude
GLF or CVCC, and its affiliates, legal representatives, assigns, designees, agents and licensees, as well as all judges and
sponsors associated with the Contest (all of the foregoing a “Sponsor” and collectively “Sponsors”) from using my child’s
submission, and agree to never sue or assert any claim against the Sponsors’ use of my child’s submission.
In compliance with the Children’s Online Privacy Protection Act (“COPPA”), I irrevocably grant to the Sponsors, the
unconditional and perpetual right and permission to reproduce, copy, transmit, publish, post, display, adapt, exhibit and/or
otherwise use or reuse (without limitation as to when or to the number of times used), my child’s name, my name, address (city
and state only), image, likeness and photograph, in any media now known or hereafter devised throughout the world for any
purpose, without limitation, and without additional review, compensation, or approval from you or any other party.
I agree to indemnify, defend and hold the Sponsors harmless from any and all claims, damages, expenses, costs (including
reasonable attorneys’ fees) and liabilities (including settlements), brought or asserted by any third party against any of the
Sponsors due to or arising out of my child’s Submissions or conduct in connection with this Contest, including but not limited
to trademark, copyright, or other intellectual property rights, rights of publicity, rights of privacy or defamation; and
I agree to release and indemnify, defend and hold harmless the Sponsors from any and all claims that any commercial,
advertising, presentation, web content, or any other material subsequently produced, presented, and/or prepared by or on
behalf of the Sponsors infringes on the rights of your work as contained in your child’s submissions.
I acknowledge that by allowing my child to enter the Contest, they are eligible for cash prizes, and I understand that I am
responsible for all taxes, fees, expenses, and surcharges applicable to those prizes, to the extent that such exist.
Parent’s Signature:
Date:
Parent’s Address:
Parent’s Address Line 2:
Parent’s phone numbers:
Parent’s E-mail address: