MIDC Showcase Contract 2021
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Dancer Name (First AND Last) *
Choose one: *
Parent/Guardian #1 Name (first and last) *
Parent/Guardian #1 Phone Number *
Parent/Guardian #1 Email *
Parent/Guardian #2 Name (first and last) *
Parent/Guardian #2 Phone Number *
Parent/Guardian #2 Email *
Select ALL classes you would like to perform with: *
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Type YOUR FULL NAME BELOW to agree to the following Photography/Videography Release: Video/Photo Release:  I hereby grant MIRROR IMAGE AND DIRECTOR MARLAINA SCHROEDER SPIVEY the irrevocable right and permission to use photographs and/or video recordings of me on MIRROR IMAGE DANCE TEAM and other websites and in publications, promotional flyers, educational materials, derivative works, or for any other similar purpose without compensation to me.  I understand and agree that such photographs and/or video recordings of me may be placed on the Internet.  I also understand and agree that I may be identified by name and/or title in printed, Internet or broadcast information that might accompany the photographs and/or video recordings of me.  I waive the right to approve the final product.  I agree that all such portraits, pictures, photographs, video and audio recordings, and any reproductions thereof, and all plates, negatives, recording tape and digital files are and shall remain the property of the MIRROR IMAGE.  I hereby release, acquit and forever discharge MIRROR IMAGE AND DIRECTOR MARLAINA SCHROEDER SPIVEY from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of said photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness or defamation. I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name or, if I am less than eighteen years old, that my parent or guardian has signed this release form below.  This release is binding on me and my heirs, assigns and personal representatives. *
Showcase Agreements: By marking each box you are indicating that you understand and agree to all of the statements. *
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