D5320 - RYLA+ Publicity & Liability Release


RYLA+  Photograph, Publicity & Liability Release Form

I,  , give Rotary District 5320, its Rotary Clubs, and Leader N U LLC. permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, zoom recordings and the like, taken during an online or in-person portion of RYLA+. I agree that Rotary District 5320, its Rotary Clubs, and Leader N U LLC. have complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with Rotary International Public Image guidelines. These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet. I acknowledge that we will not receive any compensation, etc. for the use of such pictures, etc., and hereby release Rotary District 5320, its Rotary Clubs, and Leader N U LLC. and its agents and assigns from any and all claims which arise out of or are in any way connected with such use.

I, the undersigned parent or legal guardian, understand that participation in the the activities at RYLA involve some risk of personal injury, due to the nature of the activities offered. Students will be active during both the online and in-person portions of the retreat. All students are expected to follow the rules and instructions of the staff, which are in place to keep students safe. All staff are expected to do everything they can to keep students free from harm.

I, the undersigned parent or legal guardian, do hereby release Leader N U, Rotary International District 5320, their officials, officers, agents and employees from all claims, demands, damages, actions or causes of action, whether on account of damage to property, bodily injury or death, or from any negligence resulting from the camp, or from transporting my child to and from the various areas at which the RYLA Camp is held. The undersigned has carefully read the said release and executes same in consideration of the RYLA attendee being afforded the opportunity to attend RYLA 2023.


I have read and understood this consent and release.

 to Rotary District 5320, its Rotary Clubs, and Leader N U, LLC. to use my name and likeness. I have also carefully read the said liability release and executes same in consideration of the RYLA attendee being afforded the opportunity to attend RYLA 2023.

If participant is under 18 a legal parent or guardian will need to sing on behalf of participant.
Parent/Guardian Full Name:
Relationship to Participant:
Date:

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Signature Certificate
Document name: D5320 - RYLA+ Publicity & Liability Release
lock iconUnique Document ID: 882d44c13f4dbdf4de042bb310765a5818927c4e
Timestamp Audit
November 9, 2022 2:38 pm CSTD5320 - RYLA+ Publicity & Liability Release Uploaded by Bridget Markwood - admin@leadernu.com IP 158.62.176.62