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NCWIT AspireIT Consent and Release

for Implementation Team

NCWIT AspireIT K-12 Outreach Program

Implementation Team Consent and Release

The National Center for Women & Information Technology a Colorado Nonprofit Corporation with offices located at 1111 Engineering Drive, ECCE 1B17, Boulder, CO 80309 ("NCWIT") desires to use the name, likeness, personal characteristics, and private information and publicize the name, likeness and personal characteristics of the individual named below ("Participant") for advertising, promotion, research and other commercial and business purposes. Additionally, NCWIT desires to use and publicize the works developed and created by Participant within the scope of Participant’s participation in the NCWIT AspireIT Outreach Program (the “Program”) for advertising, promotion, research, and other commercial purposes. NCWIT takes the privacy of Participants very seriously. All Authorized Uses, as defined herein, will conform with NCWIT’s Privacy Policy found at www.ncwit.org/privacy.

In exchange for the intangible value Participant will gain by participating in the Program and other good and valuable consideration, Participant hereby gives NCWIT permission for the uses (“Authorized Uses”) set forth in this Consent and Release ("Agreement").

 

Mandatory Consent to Authorized Uses

 

NCWIT requires all Participants and, if such Participant is under 18 years old, their guardians to agree to the following provisions (the “Mandatory Provisions”) prior to enrollment in the Program.

License to Works Created Within the Scope of the Program:

This section allows NCWIT to use any works created by the Participant during the Program in future promotional materials for the Program.

Participant and NCWIT acknowledge that Participant will create certain work product during Participant's participation in the Program (“Works”). Participant hereby grants NCWIT and its directors, agents, employees and affiliates, a perpetual, irrevocable non-exclusive license to use Participant’s Works to promote NCWIT and its affiliates and their businesses, products and services, without further consent from or royalty, payment or other compensation to Participant.

Consent for Program Partner to Provide Participant Information to NCWIT:

This section allows the program host to send information the Participant provides to NCWIT.

Participant acknowledges that the Program is not hosted by NCWIT and is hosted by an independent entity (the “Program Partner”). Participant hereby irrevocably grants the Program Partner the permission and right to share any information that Participant discloses to Program Partner in the scope of the Program with NCWIT. NCWIT shall only use such information for purposes consistent with the spirit and intent of the Program

Consent for NCWIT to Contact Participant:

This section allows NCWIT to contact the Participant regarding the program.

Participant grants NCWIT the permission and right to contact Participant using contact information provided either directly to NCWIT or to NCWIT through the Program Partner. NCWIT shall only contact Participant for purposes consistent with the spirit and intent of the Program.

Release from Liability

Liability Release:

This section states that Participant won’t sue NCWIT.

Participant HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE NCWIT, its directors, officers, agents, employees, successors and assigns (collectively, the "Releasees") FROM ALL LIABILITY TO Participant, Participant’s personal representatives, assigns, heirs, and guardians FOR ALL LOSSES OR DAMAGES AND ALL CLAIMS OR DEMANDS THEREFOR ON ACCOUNT OF INJURY TO PROPERTY OR PERSON, INCLUDING DEATH, ARISING OUT OF OR RELATED TO PARTICIPANT’S PARTICIPATION IN THE PROGRAM, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

I HAVE CAREFULLY READ THE MANDATORY CONSENT TO AUTHORIZED USE, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

I Agree

 

Optional Consent to Authorized Uses

The following section is optional, please answer the following yes/no questions to consent to these sections.

NCWIT requests that all Participants and, if such Participant is under 18 years old, their guardians to agree to the following optional provisions (the “Optional Provisions”) prior to enrollment in the Program. Consent to these provisions allows NCWIT to use photos and videos of the Participant in promotional materials and allows NCWIT to conduct surveys regarding Participants experience in the Program. This helps NCWIT to share the Program with others and improve the Program for future generations.

Unlike the Mandatory Provisions above, participation in the Program is not conditioned on Participant’s agreement to the Optional Provisions. However, NCWIT greatly appreciates your consent to the following.

Optional Right of Publicity:

This section allows NCWIT to use Participant’s name, photograph, video, etc. in future promotional materials for the Program.

Participant hereby irrevocably permits, authorizes, and licenses NCWIT and its affiliates, to display, publicly perform, exhibit, transmit, broadcast, reproduce, record, photograph, digitize, modify, alter, edit, adapt, create derivative works, exploit, sell, rent, license, otherwise use and permit others to use Participant’s name*, image, likeness, appearance, voice, and other personal characteristics and all materials created by or on behalf of NCWIT that incorporate any of the foregoing ("Materials") on a perpetual basis throughout the world and in any medium or format whatsoever now existing or hereafter created for advertising, public relations, publicity, packaging and promotion of NCWIT and its affiliates and their businesses, products and services, without further consent from or royalty, payment or other compensation to Participant.

Participant hereby irrevocably transfers and assigns to NCWIT Participant’s entire right, title and interest, if any, in and to the Materials and all copyrights in the Materials arising in any jurisdiction throughout the world, including the right to register and sue to enforce such copyrights against infringers. Participant acknowledges and agrees that Participant has no right to review or approve Materials before they are used by NCWIT, and that NCWIT has no liability to Participant for any editing or alteration of the Materials or for any distortion or other effects resulting from NCWIT's editing, alteration or use of the Materials. NCWIT has no obligation to use the Materials or to exercise any rights given by this Agreement.

*for minor participants, NCWIT will only use the Participant’s first name and last initial

I HAVE CAREFULLY READ THE MANDATORY CONSENT TO AUTHORIZED USE, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

Please select who will be participating...
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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Program Identifier

An AspireIT "Program ID" is only required in certain cases. If it is needed, it should have been provided to you by NCWIT or the Program's Leader. (For more info, contact aspireIT@ncwit.org)
Consent to Optional Releases
Do you consent to the section above to grant NCWIT the Optional Right to Publicity?*
No
Yes
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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