Photo Consent Participant Digital Image Release TO: Credit Valley Conservation, Credit Valley Conservation Foundation and Toronto and Region Conservation Authority,“ Conservation Group”)By:(Required)(Name of Participant and parent/guardian if a minor) First Last Consent(Required) I agree to the privacy policy.I understand and acknowledge that my likeness/image has been digitally recorded (“Digital Image”) by or on behalf of Conservation Group, for use by it in promotional and other activities as described below. “Digital Image” includes video recording, photographs and any image technology. I hereby authorize and give my full consent to Conservation Group and its assigns, successors, officers, directors, employees, agents, officials, servants, and representatives, to use my name and likeness/image and the Digital Image in all forms and media by Conservation Group for purposes of publicity, advertising, sale and promotion including but not limited to use in flyers, brochures, web site, digital media, videos, displays and general Conservation Group promotion throughout the world. I hereby assign all rights in the Digital Image to Conservation Group and hereby waive all rights in and to the Digital Image including any moral rights I may have in my likeness/image and/or the Digital Image. I expressly release Conservation Group and its, assigns, successors, officers, directors, employees, agents, officials, servants, and representatives, from any and all claims and demands arising out of or in connection with any such use of the Digital Image, including, without limitation, any and all claims for invasion of privacy, infringement of my right of publicity, defamation (including libel and slander), or any other cause of action arising out of the production, distribution, broadcast, exhibition or other exploitation of the Digital Image. I give this release voluntarily, with full understanding of its contents and with the knowledge that Conservation Group is relying on the foregoing. If the Digital Image is of a minor for whom I have responsibility as parent/guardian, I hereby acknowledge and confirm that I have authority to execute this release on behalf of the minor.Date(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Signature(Required)Name First Last Email CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Δ