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COSTUME Consent & Release Form

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    I hereby consent to and authorize the use and reproduction, in print or electronic format by the City of Mesquite or anyone authorized by the City of Mesquite, of any and all photographs which have been taken on this day for any publicity purpose, without compensation. All images--electronic, negatives and positives, together with the prints, are owned by the City of Mesquite.

    I hereby consent to and authorize the CITY, its publishers, licensees and assignees, permission to use and reproduce still photographs and/or film footage taken of me (and/or photos taken of my child/children) in whole or in part, with or without names, for editorial, trade or advertising purposes. I also confirm that I waive all claims arising from such use for any additional compensation, damages, and invasion of privacy.

    I certify that all statements and answers to all questions in this application are true, complete and correct and are made in good faith.

    In consideration for the City of Mesquite’s allowing the undersigned to participate in this program, the undersigned his/hers heirs and assigns, do hereby release and hold harmless the City of Mesquite, its directors, officers, employees, and agents from any liability for damages or injuries suffered or any other claims in connection with or arising out of the project including transportation.

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