Consent and Release Form - Applicants and Parents
In exchange for the intangible value Participant will gain by participating in the Program and other good and valuable consideration, Participant hereby gives NCWIT permission for the uses (“Authorized Uses”) set forth in this Consent and Release ("Agreement").
Consent to Authorized Uses
Right of Publicity: This section allows NCWIT to use Participant’s name, photograph, video, etc. in future promotional materials for the Program.
Participant hereby irrevocably permits, authorizes, and licenses NCWIT and its affiliates to display, publicly perform, exhibit, transmit, broadcast, reproduce, record, photograph, digitize, modify, alter, edit, adapt, create derivative works, exploit, sell, rent, license, or otherwise use and permit others to use Participant’s name*, image, likeness, appearance, voice, and other personal characteristics and all materials created by or on behalf of NCWIT that incorporate any of the foregoing ("Materials") on a perpetual basis throughout the world and in any medium or format whatsoever now existing or hereafter created for advertising, public relations, publicity, packaging and promotion of NCWIT and its affiliates and their products and services, without further consent from, or royalty, payment or other compensation to Participant.
Participant hereby irrevocably transfers and assigns to NCWIT Participant’s entire right, title and interest, if any, in and to the Materials and all copyrights in the Materials arising in any jurisdiction throughout the world, including the right to register and sue to enforce such copyrights against infringers. Participant acknowledges and agrees that Participant has no right to review or approve Materials before they are used by NCWIT, and that NCWIT has no liability to Participant for any editing or alteration of the Materials or for any distortion or other effects resulting from NCWIT's editing, alteration or use of the Materials. NCWIT has no obligation to use the Materials or to exercise any rights given by this Agreement.
License to Works Created Within the Scope of the Program or in Application to the Program: This section allows NCWIT to use any works created by the Participant during the Program or in application to the Program in future promotional materials.
Participant and NCWIT acknowledge that Participant may create certain work product during Participant’s participation in the Program or in Participant’s application to the Program (collectively, the “Works”). Participant hereby grants NCWIT and its directors, agents, employees and affiliates, a perpetual, irrevocable non-exclusive license to use Participant’s Works to promote NCWIT and its affiliates and their products and services, without further consent from or royalty, payment or other compensation to Participant.
Consent for Program Partner to Provide Participant Information to NCWIT: This section allows the Program host and the Participant’s Designated School Official to send information regarding the Participant to NCWIT.
Participant acknowledges that the Program may not be hosted by NCWIT and may be hosted by an independent entity (the “Program Partner”). Participant hereby irrevocably grants Program Partner the permission and right to share any information that Participant discloses to Program Partner in the scope of the Program with NCWIT. NCWIT shall only use such information for purposes consistent with the spirit and intent of the Program.
Additionally, in connection with certain aspects of the Program, Participant may designate a teacher or other school official (the “Designated School Official”) to endorse or recommend Participant for awards, accolades, or application to other items related to the Program. Participant hereby voluntarily consents to allow Participant’s Designated School Official to provide any necessary information, including personally identifiable information and academic records, to NCWIT. NCWIT shall only use such information for purposes consistent with the spirit and intent of the Program.
Consent for NCWIT to Contact Participant: This section allows NCWIT to contact the Participant regarding the Program.
Participant grants NCWIT the permission and right to contact Participant using contact information provided either directly to NCWIT or to NCWIT through the Program Partner. NCWIT shall only contact Participant for purposes consistent with the spirit and intent of the Program.
Release from Liability
Liability Release: This section states that Participant will not sue NCWIT.
PARTICIPANT HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE NCWIT, ITS DIRECTORS, OFFICERS, AGENTS, EMPLOYEES, SUCCESSORS AND ASSIGNS (COLLECTIVELY, THE "RELEASEES") FROM ALL LIABILITY TO PARTICIPANT, PARTICIPANT’S PERSONAL REPRESENTATIVES, ASSIGNS, HEIRS, AND GUARDIANS FOR ALL LOSSES OR DAMAGES AND ALL CLAIMS OR DEMANDS THEREFOR (I) TO THE EXTENT PERMITTED BY APPLICABLE LOCAL LAW, ANY CLAIM OR DEMAND UNDER LOCAL PRIVACY LAW; AND (II) ON ACCOUNT OF INJURY TO PROPERTY OR PERSON, INCLUDING DEATH, ARISING OUT OF OR RELATED TO MY PARTICIPATION IN THE PROGRAM, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
I HAVE CAREFULLY READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
Representations and Warranties
Participant’s Representations and Warranties: This section states that Participant has been truthful in her application materials and owns the rights to or has acquired the necessary permission to submit any conveyed materials to NCWIT.
Participant represents and warrants that any materials Participant conveys to NCWIT (“Conveyed Materials”) during the Program or in its application thereto do not infringe the rights of any third party. Additionally, Participant represents and warrants that Participant has full right and title to any of the Conveyed Materials and/or has acquired all permissions necessary regarding the Conveyed Materials for the uses contemplated under this Agreement.
Participant further warrants and represents that Participant has met the criteria contained in the applicable website(s) located at:
respectively, and has been truthful and forthright in all Conveyed Materials, and, to the best of Participant’s knowledge, there is no reason why Participant should be denied entry into the Program.
IF PARTICIPANT IS UNDER 18 YEARS OF AGE, PARTICIPANT’S LEGAL GUARDIAN MUST CERTIFY THE BELOW. A MINOR’S APPLICATION WILL NOT BE REVIEWED UNTIL PARENTAL CONSENT IS RECEIVED.