Barn Day Registration - Dressage at Devon

First Name

Last Name

Barn Name

Mobile Phone

Barn Address

Suite or Apt

City

State

Zip Code

Number of Participants

Are you submitting a video?

Yes No

Are you coming to the show?

Yes No

Confirmation

I hereby consent to and authorize the use and reproduction by Dressage at Devon (the “Show”) of any and all photographic and any other audio/visual materials (including, without limitation, videos, audios, cablecasts, broadcasts, internet, film, new media or other likenesses) of me and my child (or the participant of whom I am the legal guardian) taken during the course of the Dressage Explorers activities, occurring at the showgrounds Sept 27th to Oct 2nd 2022, for promotional material, coverage of the Show, and for any other use for the benefit of the Show. On behalf of myself and my child/such participant, I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation.

I confirm.

I am over the age of 18.

I confirm.

Confirmation

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