Parent/Legal Guardian of Student Participant Acknowledgment

Parent/Legal Guardian of Student Participant Acknowledgment/ Release Form‡
(COMPLETE ONLY IF STUDENT PARTICIPANT IS UNDER 18):
I am the parent or legal guardian of the student named above. By signing below, and without limiting anything set
forth in the 2013 Nevada State Bank Beautiful Nevada Essay Contest Official Contest Rules located at
www.nsbank.com/BeautifulNV (the “Rules”), I acknowledge that I am at least 18 years of age and have read,
understand, agree to, and have complied with the Rules. I consent to the Sponsor communicating with my student
in connection with the Contest, including Sponsor’s collection and use of my student’s name/contact information
listed on the Contest Entry Form. Further, I have submitted with the Contest Entry Form all required consents and
releases, properly signed by me or my student, as required by the Rules. I agree that the Sponsor may
communicate with my child’s teacher and/or other school official for all purposes related to the Contest. To the
best of my knowledge, the entry packet is fully and accurately completed.
For valuable consideration, I hereby give Nevada State Bank and its affiliates, successors, licensees, assigns
and representatives the absolute and irrevocable right and permission, worldwide and in perpetuity, with
respect to my child’s Essay and my and my child’s likeness in any and all files, videos, recordings and/or
photographs taken of me or my child, or in which I or my child may be included with others, by or at the
direction of Nevada State Bank:
(a) to copyright the same in their own name or any other name that they may choose;
(b) to use, re-use, publish and re-publish the same in whole or in part, severally or in conjunction with other
photographs, in any and all medium (including but not limited to any traditional and/or social media
venue) and for any other purpose whatsoever, including but not limited to illustration, promotion,
advertising, and trade;
(c) to use my name in connection with the files, videos, recordings and/or photographs or any derivative
works created therefrom; and
(d) to assign or transfer said rights described above, in whole or in part, to any third party for use in any
derivative or creative works prepared by or with Nevada State Bank for the benefit of such third party.
I further consent that my name and/or my child’s name and identity may be revealed therein or by
descriptive text or commentary.
I hereby release and discharge Nevada State Bank and its successors, licensees, assigns and representatives
from any and all claims and demands arising out of or in connection with the Contest and use of the said
materials, including any and all claims for libel, invasion of privacy, or infringement. I waive any rights, claims,
or interests I may have to control the use of my identity or likeness in connection with the Contest and
submitted materials in whatever media used.
I represent that I am at least 18 years of age, I have read the foregoing and fully understand the contents
herein and I am competent to execute this agreement.
Print Student’s Name Here
Print Parent / Guardian Name
Signature of Parent / Guardian of Student Entrant
Date
‡This signature page must be signed by a parent/guardian for each student participant who is under 18, as instructed. Include one signature page for each minor entrant with Contest Entry Form.
MEMBER FDIC