I grant permission to the directors, assistants, or other persons associated
with Indiana University and the National Science Olympiad Organization
to use images of me taken throughout the duration of the National Science
Olympiad Tournament from May 17-20, 2006.
I understand that, if used, these images will be employed to promote Indiana University, as well as current and future Science Olympiad Tournaments.
By this authorization, I understand and agree that I will NOT receive remuneration and that all rights, title and interest to the images and use of them belongs to the Indiana University.
I also understand that members of the press may request an interview and that I have the right to decline such interview. This agreement is in effect for May 17-20, 2006 for the National Science Olympiad Tournament being held at Indiana University.
I give my consent to the conditions that have been stated above.
DATE:____________________
PARTICIPANT SIGNATURE :__________________________________________________
PARTICIPANT NAME (PRINT): ______________________________________________
ADDRESS: __________________________________________________________
PHONE: _____________________________________________
If participant is under 18 years old, then his/her parents or guardian
must sign below:
PARENT/GUARDIAN SIGNATURE: ___________________________________________
PARENT/GUARDIAN NAME (PRINT): _________________________________________