PHOTO SUBMISSION, PERSONAL CONTEST, WAIVER AND RELEASE, AND HOLD HARMLESS

AGREEMENT
In consideration for receiving permission to participate in the M-NCPPC’s Montgomery County Planning
Department / Town of Kensington Photo Contest, I declare and affirm that:

TERMS and CONDITIONS

1) I am the individual who took the submitted photograph.

2) I hereby grant to the Montgomery County Planning Department / Town of Kensington to the fullest
extent of my rights and interest therein, the unrestricted, irrevocable and exclusive right and permission
to use and reuse, publish, print, distribute and reproduce for public display the submitted photograph in
whole or in part, composite or retouched in character or form.

3) I have obtained consent from each readily identifiable and/or recognizable person in my photo for the
unrestricted, irrevocable and exclusive right and permission to use and reuse, publish, print, distribute
and reproduce for public display the submitted photograph.

4) I understand I will not receive a fee or other form of compensation except for the potential to win a
one-time contest award.

5) I hereby release, discharge and agree to hold harmless the Maryland-National Capital Park and
Planning Commission / Town of Kensington from any and all claims, damages, costs and liabilities that
may arise as a result of entering and participating in this photo contest or from any subsequent
publication or disclosure of the submitted photograph.

6) The submitted photograph has not been widely published.

7) I am over the age of 18 and have the right to contract in my own name, or if I am not over the age of
18, my parent or legal guardian is signing this agreement on my behalf.

8) I hereby acknowledge that this agreement will be construed, interpreted and enforced according to
the laws of the State of Maryland, in a court of competent jurisdiction in Montgomery County, MD.

9) I have read and fully understand the terms and conditions herein and affirm that the foregoing is true
and correct.

I understand the terms and conditions herein are contractual and not a mere recital, that this
agreement is legally binding and that I have voluntarily signed or agreed to the terms and conditions of
this instrument.

Signed Date
If the photograph was taken by a minor under the age of 18, I affirm that I am the minor’s parent of
legal guardian and that I consent to the photo being entered in the Maryland-National Capital Park and
Planning Commission’s Montgomery County Planning Department 2009 Photo Contest.

Signed Date

How to submit your entry form:

1. If you are sending digital images online, you must agree to our terms and conditions spelled out in the
form before you can submit.

2. Print, sign and send entry form via fax to 301/495-4620, attn: Planning Department photo contest

3. Print, sign and send entry form to:

Montgomery County Planning Department Photo contest

Suite 211
8787 Georgia Ave.
Silver Spring, MD 20910