Event or Activity Media Release and Waiver

    Media Release: I, , the undersigned, do hereby consent and agree that Kusewera has the right to take photographs, videotape, or digital recordings of me from any Kusewera trip/event/activity and use these in any and all media, now or hereafter known, and exclusively for the purpose of Kusewera and the promotion of Kusewera. Please note this promotion is primarily on Kusewera owned social channels, website and newsletter. I further consent that my name and identity may be revealed therein or by descriptive text or commentary. Minors names may be withheld unless given consent. I further agree that any images or video that I take and publicly post or give to Kusewera, may be utilized for Kusewera’s promotion as well. I do hereby release to Kusewera all rights to exhibit this work in print and electronic form publicly or privately. I waive any rights, claims or interest I may have to control the use of my identity or likeness in whatever media used. I understand that there will be no financial or other remuneration for recording myself, either for initial or subsequent transmission or playback.

    I have carefully read this Agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself and Kusewera and/or its affiliated organizations and sign it at my own free will.

    Kusewera has established policies and guidelines for all participants that are in line with both the mission of Kusewera and those we work alongside. As such, we are not open to those who promote any ideology of hate and discrimination for any ethnic group, religion/faith or anything that doesn't promote love, unity and inclusion. If that policy is not followed, Kusewera reserves the right to end the participant’s involvement if an event or activity is already in progress. Signing states that you understand the above statement and will adhere to these policies and guidelines.

    Signature:* Date:*

    Printed Name:* Email:*

    If under 18, Parent/Guardian Signature: Date:
    Printed Name:

    I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above terms and policies.