Photo Release


You must sign this General Photography Release and the Waiver of Liability to receive a stamp and clearance to use my pole. Feel free to print this out and bring it with you or pick one up the day of the event.

If you are not okay with being photographed by the press, runners and spectators, and having images of you show up on Facebook, this event is not for you. You are welcome to attend as a spectator, however.

General Photography Release

I hereby authorize Vivienne Palmer (POLEder Boulder &, hereafter referred to as “Company,” to publish photographs taken of me on (May 26, 2014), and my name and likeness, for use in the POLEder Boulder’s print, online and video-based marketing materials, as well as other Company publications.

I hereby release and hold harmless Vivienne Palmer from any reasonable expectation of privacy or confidentiality associated with the images specified above.

I further acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other POLEder Boulder publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever.

I understand that this is a public event and I may be photographed by the press and spectators. Vivienne Palmer, POLEder Boulder and http://www.vivblogs has no control over the actions of others and is not expected to monitor photographic activities and publication of photographs on the internet.

I hereby release Vivienne Palmer (POLEder Boulder &, its contractors, its employees, and any third parties involved in the creation or publication of marketing materials, from liability for any claims by me or any third party in connection with my participation.


Printed Name: ____________________________

Signature: ________________________________ Date: ______________________

Street Address: ________________________________________________________

City: ____________________________ State: ________ Zip: ___________________

Click to download form: General Photograpy Release

One thought on “Photo Release

  1. Pingback: Welcome to the Second Annual Memorial Day POLEder Boulder 2013 | POLEder Boulder

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