Digitization Day Registration
Date: Saturday, October 21 | 10am-2pm
Address: Beachville District Museum | 584371 Beachville Rd, Beachville, ON N0J 1A0
Contact: 519-423-6497 or beachvilledistrictmuseum@gmail.com

Once you complete this form, a representative from the Beachville District Museum will contact you to confirm your registration details and provide you with any additional information required. 

Please note that the technology available to us may restrict our capacity to digitize your item due to size or condition concerns. 
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Email *
Name *
Address *
Phone # *
Connection to Zorra/Oxford County *
How did you learn about this event?
Photo Release
I do, hereby, give the Zorra Heritage Committee, Beachville District Museum, Oxford County Archives and their assigns, licensees and legal representatives the irrevocable right to use my name, image and voice in all forms and media and in all manners, including composite representations, and advertising and other lawful purposes, and I waive any right to inspect or approve the finished product including written copy, that may be created in connection therewith.   
 *
Required
NON-EXCLUSIVE PERMISSION: I hereby grant permission to the Zorra Heritage Committee, Beachville District Museum, Oxford County Archives and their assigns, licensees and legal representatives to copy, display and distribute copies of the documented materials identified by the nametag on this sheet, and to incorporate any files and images in whole or in part into derivative works. I retain all other rights to these materials, including without limitation, the right to copy, distribute, publish, display or modify the images and to transfer, assign or grant license of any such rights. I am of full age. I have read this release and am familiar with its contents  
 *
How many items do you plan to bring?  *
Item 1 Classification *
Item 2 Classification *
Item 3 Classification *
How would you like to receive your files? *
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