2014 Picture Brockport Calendar Contest

ENTRY FORM
A separate form must be used with each photo. Limit of 3 photos, per photographer.

Get out your cameras and/or look through your digital photos! Pro-Brockport invites entries for the 2014 Picture
Brockport Calendar Contest! Anyone is eligible to submit entries for our theme: "Best of Brockport." Whether it is
the Festival of Lights parade, parks and gardens in bloom, old fashioned 4th of July at Morgan Manning, Arts Festival,
Sidewalk Sale, Farmers Market, boaters on the canal, bikers on trails. anything that celebrates our Village of
Brockport! Submit your best pictures within the village limits of Brockport for a chance to be published in the 2014
Picture Brockport Calendar. If your picture is chosen to be published as 1 of the 12 pictures of the month, you will
receive a complimentary copy of the calendar. Entries will be accepted from February 1, 2013 until September 1, 2013.
Calendars will be available for sale in time for the Holiday Season 2013. For submission details, visit probrockport.org or
send an email to probrockport.org@gmail.com

Name: ____________________________________________________________________________________
Mailing Address (City, ST, Zip) _________________________________________________________________
Phone No. __________________________________ E-mail Address: ________________________________
Name of photographer: _______________________________
Is photographer under 18? ___ YES ____ NO

If yes, name of guardian: ___________________________

E-mail Address: ________________________________ Phone No. _________________________________

About This Photo:

Name or event of the Photo: __________________________________________________________________
Location of photo: ___________________________________

Date taken: __________________________

Other information about the photo:

__________________________________________________________________________________________
__________________________________________________________________________________________
I agree that the attached photo submitted for the 2014 Picture Brockport Calendar Contest may be used without
compensation for this specific project as well as for the promotion of the calendar and future Pro-Brockport photo
contests, including on the Pro-Brockport websites. Any person or persons featured in the submitted photograph
consented to allow Pro-Brockport to use their likeness, as stated above, without any compensation. I understand that
submitted photographs will not be used for any other purpose and will remain the property of the photographer. I
affirm that this photograph is the property of the photographer. I understand that both my name and the
photographers name (if different) will appear on the calendar. I further affirm that all of the information provided on
this form and other submission documents is true and accurate.

____________________________________________________

___________________

Signature of Photographer or Person Submitting the Entry

(or guardian if photographer is under 18 years of age)

Date

2014 Picture Brockport Calendar Contest

MODEL RELEASE FORM
Name of Photographer (print): _____________________________________________________
Name of Guardian (if under 18) (print): _______________________________________________
I agree that my attached photo, submitted for the 2014 Picture Brockport Calendar Contest, may be used without
compensation for this specific project as well as for the promotion of the calendar and future Pro-Brockport photo
contests. Any person or persons featured in the submitted photograph consent to allow Pro-Brockport to use their
likeness as stated above without any compensation. Submitted photographs will not be used for any other purpose and
will remain the property of the photographer.

____________________________________________________

___________________

Photographers Signature
(or guardian if photographer is under 18 years of age)

Date

_____________________________________

________________________________________

Name of the Person in the Photo

Signature

_____________________________________

________________________________________

Name of Guardian (if under 18)

Guardian Signature

_____________________________________

________________________________________

Name of the Person in the Photo

Signature

_____________________________________

________________________________________

Name of Guardian (if under 18)

Guardian Signature

_____________________________________

________________________________________

Name of the Person in the Photo

Signature

_____________________________________

________________________________________

Name of Guardian (if under 18)

Guardian Signature

_____________________________________

________________________________________

Name of the Person in the Photo

Signature

_____________________________________

________________________________________

Name of Guardian (if under 18)

Guardian Signature