Kootenaymeditaion.com – Location Release

Location use dates: ___________________________

Permission is hereby granted to Kootenaymeditation.com and Datse Multimedia Productions to use the property located at:

Location: ________________________________________

Consisting of: ___________________________________

for the purpose of photographing and recording scenes for the above program produced by Kootenaymeditation.com and Datse Multimedia Productions.

Permission includes the right to bring personnel and equipment onto the property and to remove them after completion of the work. The permission herein granted shall include the right, but not the obligation, to photograph the actual name connected with the premises and to use such name in the program(s).

The undersigned hereby gives to Kooteanymeditation.com and Datse Multimedia Productions, its assigns, agents, licensees, affiliates, clients, principals, and representatives the right and permission to use such photographs and recordings in the following manners:

Kootenaymeditation.com and Datse Multimedia Productions hereby agrees to hold the undersigned harmless of and free from any and all liability and loss which Kootenaymeditation.com and Datse Multimedia Productions, and/or its agents, may suffer for any reason, except that directly caused by the negligent acts or deliberate misconduct of the owner of the premises or its agents.

The undersigned hereby warrants and represents that the undersigned has full right and authority to enter into this agreement concerning the above described premises, and that the undersigned hereby indemnifies and holds Kootenaymeditation.com and Datse Multimedia Productions, and/or its agents, harmless from and against any and all loss, liability, costs, damages or claims of any nature arising from, growing out of, or concerning the use of the above described premises except those directly caused by the negligent acts or deliberate misconduct of Kootenaymeditaiton.com and Datse Multimedia Productions, or its agents.

If you would like your photographs to be released with a intellectual property license other than the site license (Creative Commons Attribution-Noncommercial-Share Alike 2.5 Canada http://creativecommons.org/licenses/by-nc-sa/2.5/ca/) please check here ____ and attach information regarding the license that you wish to use (may be more or less restrictive, the option is yours).

By (please print): _________________________________
Signature: ______________________________________
On behalf of: ____________________________________
Date: __________________________________________

Witness (please print): _____________________________
Signature: _______________________________________
Date: ___________________________________________

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