Guest Registration – Update Form

NIGHT TO SHINE PARTICIPANT MEDIA & LIABILITY RIGHTS RELEASE: By checking below, and/or by or in consideration for participating in an event hosted by, sponsored by, or associated with the Tim Tebow Foundation and Antrim Brethren in Christ Church/King Street Church, I hereby give my full consent to Tim Tebow Foundation, Inc., (“TTF”) a Georgia nonprofit corporation headquartered in Florida and Antrim Brethren in Christ Church/King Street Church (ABIC/KSC), which are PA nonprofit corporations, to record, by writing, by video, photographic, or audio recording device, or by any other analog or digital means, the actions, physical likeness, biographical information, and/or voice of me and/or any person of whom I am the parent or legal guardian, including minor children (collectively referred to as the “Participants”). Additionally, I hereby grant to TTF and ABIC/KSC, without royalty or other compensation now or in the future, all rights of every kind and character whatsoever, in perpetuity, in and to any and all such recordings, along with any additional recordings I might provide to TTF and ABIC/KSC, and to any benefits inuring to TTF and ABIC/KSC as a result of its use of any of the foregoing recordings. Among other things, TTF and ABIC/KSC may, but is not required to, copy or reproduce the recording, edit or modify it, incorporate it into another work, display or broadcast it or any of the foregoing privately or publicly, and use or license it or any of the foregoing for use by others, all for the sole benefit and at the sole discretion of TTF and ABIC/KSC, for the advancement of TTF and ABIC/KSC’s exempt charitable purposes. All permissions granted herein extend to any successor or assign of TTF and ABIC/KSC and bind the Participants and their heirs, successors, and assigns. I, on behalf of all Participants, hereby release and discharge and agree to hold harmless TTF and ABIC/KSC, its directors, officers, employees, volunteers, and independent contractors, from any and all claims or damages, including but not limited to defamation or violation of rights of privacy or publicity, arising from or associated with the recording or use of the recordings. This release shall be construed, interpreted and governed in accordance with the laws of the State of Florida, and should any provision of this release be determined invalid, such invalidity does not affect any of the remaining provisions. I am of full age and have the right to contract in my own name and for each Participant. The above release applies to both participants and family/caregivers who are staying on-site.

I understand by checking this box, that I should expect to receive a confirmation email that lets me know I am properly registered. I will watch for this email (check junk box as well). If I do not receive it within 24 hours of my registration, I will know that my registration may not have transmitted properly and will contact Jim Roberts at robertsj@gmail.com for assistance.

By checking this box, I acknowledge that even though King Street Church is the host church, that the event location is at Antrim Brethren in Christ Church (24 Kauffman Rd E, Chambersburg, PA 17202)