H'ugacakebi Kataudam Huyabca Naxnish Aducaxamid
We are working on a vision that was foreseen by our past chiefs

Photo Waiver Form

Alexis Board of Education invites Alexis Band Members to submit the following information to be included in the graduate section:

1. Photo Release Waiver

2. Personal Information and Graduation Details
    Student Name:
    School Attended:
    Credential Received:
    Graduation Year:

3. Graduation Photo

Please forward your signed information to: 
Alexis Board of Education
Mailing Address: Box 27  Glenevis, Alberta  T0E 0X0
Fax: 780-967-2671
Drop off: Monday - Friday, 8:30 am - 4:30 pm
   



Authorization and Release

I hereby grant permission to the Alexis Board of Education, and its officers, trustees, employees, agents, students, representatives, successors, licensees and assigns (hereinafter "the Board") to photograph my image, likeness, or depiction and/or that of my minor children (if applicable). I hereby grant permission to the Board to edit, crop, or retouch such photographs, and waive any right to inspect the final photographs. I hereby consent to and permit photographs of me and/or those of my minor children to be used by the Board worldwide for any purpose, including educational and advertisement purposes, and in any medium, including print and electronic. I understand that the Board may use such photographs with or without associating names thereto. I further waive any claim for compensation of any kind for the Board's use or publication of photographs of me and/or those of my minor children (if applicable).

I hereby fully and forever discharge and release the Board from any claim for damages of any kind (including, but not limited to, invasion of privacy; defamation; false light or misappropriation of name, likeness or image) arising out of the use or publication of photographs of me and/or those of my minor children (if applicable) by the Board, and covenant and agree not to sue or otherwise initiate legal proceedings against the Board for such use or publication on my own behalf or on behalf of my minor children. All grants of permission and consent, and all covenants, agreements and understandings contained herein are irrevocable.

I acknowledge and represent that I am over the age of 18, have read this entire document, that I understand its terms and provisions, and that I have signed it knowingly and voluntarily on behalf of myself and/or my minor children (if applicable).

Date:___________________________________________

Print Name:______________________________________

Signature:________________________________________

Print Names of Minor(s):__________________________________________________________________________


Print Name of Witness:____________________________

Signature:____________________________