THE NATIONAL CENTER FOR MISSING AND EXPLOITED CHILDREN Artwork Authorization and Release Form for Class Entrants

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3 THE NATIONAL CENTER FOR MISSING AND EXPLOITED CHILDREN Artwork Authorization and Release Form for Class Entrants Teacher s Name: Grade of Participants: Number of Students: School s Name: School s Address: City: State: Zip: School s Office Number: Teacher s Address: For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, on my own behalf and on behalf of my class (the Class ), I hereby authorize the Class participation in the 2011 NetSmartzKids Poster Contest (the Contest ) and hereby grant to The National Center for Missing and Exploited Children ( NCMEC ) and its licensees, assignees, and successors in interest all rights, title, and interest, throughout the world and in perpetuity, in and to the Class artwork submitted to the Contest (the Artwork ) and the results and proceeds thereof in connection with production of the Artwork. On my own behalf and on behalf of the Class: (1) I certify that this Artwork is original and that I have the authority to waive the rights to all of the Artwork and content contained therein. (2) I hereby authorize NCMEC (i) to use and license others to use such Artwork in any manner or media whatsoever, including, without limitation, unrestricted use for purposes of publicity, advertising, fundraising and education and (ii) to use the following information in connection with the Artwork: the teacher s first and last name, the grade level of participating class, the name of the school and its city/state. (3) I acknowledge that NCMEC owns all rights to the Artwork, including without limitation, the right to any and all copyrights and any extensions or renewals thereof, and I hereby waive both my moral rights and any right that I may have to inspect and/or approve the finished product to which they may be applied. (4) I hereby release and discharge NCMEC, its employees, officers, directors, volunteers, licensees, designees, successors, and assigns from any and all claims, actions, and demands arising out of or in connection with the use (5) I acknowledge that neither I nor the Class expect any remuneration or compensation from NCMEC or from any other person or entity for the right and permission to use the Artwork, as I grant such right and permission because of my desire to help NCMEC in its mission to find missing children and end child exploitation. Signature: Date: Print Name:

4 THE NATIONAL CENTER FOR MISSING AND EXPLOITED CHILDREN Artwork Authorization and Release Form for Individual Entrants PLEASE PRINT CHILD S NAME: LAST FIRST MIDDLE PLEASE PRINT PARENT S OR LEGAL GUARDIAN S NAME: LAST FIRST MIDDLE As parent and/or legal guardian of the above-named child (the Child ), I hereby authorize the Child s participation in the 2011 NetSmartzKids Poster Contest (the Contest ). For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, on my own behalf and on behalf of the Child, I hereby grant to The National Center for Missing and Exploited Children ( NCMEC ) and its licensees, assigns, and successors in interest all rights, title, and interest, throughout the world and in perpetuity, in and to the Child s artwork submitted to the Contest (the Artwork ) and the results and proceeds thereof in connection with production On my own behalf and on behalf of the Child: (1) I certify that this Artwork is original and that I have the authority to waive the rights to all of the Artwork and content contained therein. (2) I hereby authorize NCMEC (i) to use and license others to use such Artwork in any manner or media whatsoever, including, without limitation, unrestricted use for purposes of publicity, advertising, fundraising and education; and (ii) to use the Child s name, likeness, biographic or other information in connection with the Artwork. (3) I acknowledge that NCMEC owns all rights to the Artwork, including without limitation, the right to any and all copyrights and any extensions or renewals thereof, and I hereby waive both my moral rights and any right that I may have to inspect and/or approve the finished product to which they may be applied. (4) I hereby release and discharge NCMEC, its employees, officers, directors, volunteers, licensees, designees, successors, and assigns from any and all claims, actions, and demands arising out of or in connection with the use (5) I acknowledge that neither I nor the Child expect any remuneration or compensation from NCMEC or from any other person or entity for the right and permission to use the Artwork, as I grant such right and permission because of my desire to help NCMEC in its mission to find missing children and end child exploitation. I represent that I am eighteen (18) years of age or older, that I am the parent and/or legal guardian of the Child, that I have the legal authority to sign this Authorization and Release on behalf of the Child, and that I have read this document and fully understand its contents. [The remainder of this page is intentionally left blank. Signature page will follow.]

5 ACKNOWLEDGED AND AGREED on the date set forth below: Signature: Date: Print Name: Relationship to above-named Child: Address: City: State: Zip: Phone: Child s State of Residence (if different from that of parent or guardian):