PHOTO SUBMISSION INFORMATION SHEET

(Maximum of 3 Entries)

PHOTO ENTRY #1
(Note: Pls. attach a signed copy of the MODEL RELEASE FORM if your are photographing people)

PHOTO TITLE:
A JOURNEY OF A SWEETEST TOMORROW

PHOTO CAPTION: (1-2 sentences explaining/describing the photograph and its relevance to the theme)

Despite how women are labeled, viewed and treated in our community, of all ages, they continuously became a
symbol of strength, hope and innovations in this time of pandemic, to bear the fruit of a sweetest tomorrow.

FILENAME OF THE PHOTO: (must be in the format “SURNAME_PHOTO TITLE”.)

MANDAP_A JOURNEY OF A SWEETEST TOMORROW

DATE THE PHOTO WAS CAPTURED: (Month, Year)

October, 2021
PLACE THE PHOTO WAS CAPTURED:
Capas Public Market

CAMERA USED:
Nikon D7000

PHOTO METADATA: ISO 159 APERTURE f/3.2 SHUTTER 1/60

SPEED

PHOTOS LINK: (Google Drive or DropBox)

https://drive.google.com/drive/folders/1x__e6ywk4VCovwdpOPyym7shpRKeh4Oa?usp=sharing
NAME OF CONTESTANT:
MARC ANGELO D. MANDAP

I hereby declare that the information provided is true and correct. I also read and understand the guidelines of the
contents and that that any willful dishonesty may render for refusal of this application or immediate disqualification of
the contest.

MARC ANGELO D. MANDAP

_________________________
(Print Name and Signature)

ZONTA CLUB OF CEBU II will only accept entries submitted through the online entry form. Entries submitted through other means
will not be accepted and will be automatically disqualified. Submission begins at 1:00 AM PST on October 15, 2021 and ends at
11:59pm PST on November 15, 2021.
 MODEL RELEASE FORM

MARC ANGELO D. MANDAP

I understand that I appear in a photograph or photographs taken by______________________________,
and I give _______________________________
FULL permission to use my name and that photographic
likeness in his or her entry to ZONTA CLUB OF CEBU II’s Photo Contest. I also hereby give ZONTA
CLUB OF CEBU II (and those authorized by the the same) a royalty-free, world-wide, perpetual, non-
exclusive license to publicly display, distribute, reproduce and create derivative works of that entry
(including my name and photographic likeness), in whole or in part, in any media now existing or later
developed, for any purpose, including, but not limited to, advertising and promotion of ZONTA CLUB OF
CEBU II’s service and advocacy projects and programs including but not limited to their website postings
and publications. I understand that I shall not receive any compensation for these uses and that the
ZONTA CLUB OF CEBU II is under no obligation to use the entry in any way. I waive any claim or right of
action arising out of the uses described in this release.

Name Jewel C. Sembrano

Address Capas Tarlac
E-mail None
Telephone None
Signature
Date October 24, 2021

If Model is under 18:

LORNA C. SEMBRANO
I, _______________________________, am the parent/legal guardian of the individual named above, I
have read this release and approve of its terms.

Name Lorna C. Sembrano

Address Capas Tarlac
E-mail None
Telephone 09325125816
Signature
Date October 24, 2021

ZONTA CLUB OF CEBU II will only accept entries submitted through the online entry form. Entries submitted through other means
will not be accepted and will be automatically disqualified. Submission begins at 1:00 AM PST on October 15, 2021 and ends at
11:59pm PST on November 15, 2021.