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Personal Release Form & Photo Contest Entry Form

Click here to download a PDF version of this form. To view a PDF, you will need Adobe Acrobat Reader. If you don't already have it, you may download a free copy by clicking here .

I, , hereby grant photographer - and his/her legal representative, including NY Farms! irrevocable permission to publish the photograph taken of me or my property and submitted for the NY Farms! Photo Contest

Please described below each photo's subject/location and the filename if you will be emailing the photos to NY Farms!:

These images may be published in any manner, including advertising, periodicals, greeting cards, calendars, postcards, and website without compensation to me. Furthermore, I will hold harmless photographer and NY Farms! and its legal representatives and assigns from any liability by virtue of any blurring, distortions or alteration that may occur in producing the finished product, unless it canbe proven that such blurring, distortion or alteration was done with malicious intent toward me.

I affirm that I am more than 18 years of age and competent to sign this contract on my own behalf or if younger than 18 years of age have had a parent or fuardina sign on my behalf. I or my parent or guardian, have read this release and fully understand its contents.

Date:
Signature:
Signature of a:
Address:
Town:
State:
Zip:
Phone:
Email:
Photos and forms can be sent electronically to NY Farms! by submitting this form below then emailing us the photos in a JPG Format. You can also print and mail the form and photo(s) to:
NY FARMS!
P.O. Box 210
Watkins Glen, NY 14891
  

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NY FARMS!
P.O. Box 210 · Watkins Glen, NY 14891 · Tel: 607-535-9790 · Fax: 607-535-9794  · 1-888-NYFarms
www.nyfarms.info  ·  nyfarms@nyfarms.info

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