Photo Submission Name Email Date image was taken Location information (include the name of city and the business, if applicable, where this image was taken) Names of recognizable people in the image Description (include any details that explain why/how this image illustrates life during the COVID19 pandemic): I agree to the Photograph/Video Release and Waiver Form. Photograph/Video Release and Waiver Form I hereby agree and grant irrevocable permission to the City of Mission Viejo, its officials, employees, volunteers and affiliates, including their respective assignees, agents and licensees (collectively, “Sponsor Parties”), to reproduce, encode, store, copy, transmit, publish, post, broadcast, display, publicly perform, adapt, edit, exhibit, create derivative works and/or otherwise use and reuse the photographs/video and/or images submitted of myself or my minor child, in any media, including, without limitation, the internet, for any and all purposes Sponsor Parties deems appropriate. I hereby waive any right to inspect or approve the final photographs/video and/or images, including any printed or electronic matter that may be used in conjunction with them, now and at all later times, whether that use is known or unknown to me and hereby waive any right to royalties or any other compensation arising from or related to the use of the photographs/video and/or images. I further waive my right to pursue any and all claims, in law, equity or otherwise, arising from or related to use of the photograph/video and/or image. Moreover, I hereby agree to defend, and hold harmless Sponsor Parties for any and all publishing and/or distributing of the photographs/video and/or images, in whole or in part, whether on paper, via electronic media, or on the internet, from and against any and all claims, damages, or liability arising from or related to the use of the photographs/video and/or images, including, but not limited to, any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the photographs/video and/or images, its publication or distribution, by Sponsor Parties or any other individuals and/or entities. By checking this box I acknowledge that I have read and understand the foregoing release and waiver and I understand that I am giving up important legal rights. Leave this field blank