Moonshot AZ
Menu

Moonshot Photo/Recording Release Form


I grant permission to Moonshot at NACET, and its agents and employees, to copyright and publish, as well as otherwise use, reuse, republish and make derivative works of, all or any part of photographs and/or motion pictures and/or voice recordings and/or written and/or spoken statements taken of me on the date(s) and at the location(s) listed below (the “Photos/Recordings”). This permission relates to any media or publication now or hereafter known, including on the Moonshot at NACET website and the internet generally, for the purposes of, but not limited to: Photos/Recordings that are printed, moving, audio, and/or electronic; and all exhibits, public displays, commercial art, illustrations, promotions, art, editorial works, and for advertising or commercial purposes. This permission is granted without limitation or reservation.


I hereby waive any right to inspect or approve the Photos/Recordings that may be used by Moonshot, now or in the future, whether the use is known or unknown to me. I also hereby waive any right to royalties or other compensation arising from or related to the use of the Photos/Recordings that may be used by Moonshot at NACET.


I hereby agree to indemnify, release and hold harmless Moonshot from and against any claims, demands, damages or liability arising from or related to the use of the Photos/Recordings, including but not limited to any claims arising from defamation or violation of any right of publicity or privacy, and also including but not limited to any re-use, distortion, blurring, alteration, optical illusion or use in composite form, either intentional or otherwise, that may occur or be produced in production of the final product. I agree that it is solely within the discretion of Moonshot at NACET to decide whether and how to use the Photos/Recordings.


This Release will be binding upon me and my heirs, legal representatives, and assigns.


Unless my parent or guardian signs where indicated on the signature lines below, I certify that I am 18 years of age or older, and I am competent to contract in my own name. I have read this Release and I fully understand the contents, meaning, and impact of this Release. [For subjects of the Photos/Recordings who are under 18, this Release must be signed by both the minor subject and his/her parent or guardian.]


In any event, I hereby consent to the disclosure of Photos/Recordings related to me as described herein. I certify that this consent is given freely and voluntarily. I may revoke this consent at any given time by providing written notice of such revocation to the Moonshot office or employee who maintains this authorization. I understand that in order to revoke this release, I must present the request in person with Moonshot accepted photo identification. I understand that this authorization remains in effect until my written revocation is received the Moonshot office or employee unless noted differently herein.

Please fill out the information below: 


    * If you are under 18 years of age, please instruct your parent or guardian to fill out this portion of the release form as well as provide their email address or physical address below: 
Submit

Connect with Arizona's Premiere entrepreneurship program


Moonshot at NACET
​Flagstaff Campus

2225 N. Gemini Dr.
Flagstaff, AZ 86001
AZ Stitch Lab
Tucson Campus
​625 W. Rillito St.
Tucson, AZ 85705

Picture
WE HELP ENTREPRENEURS
WE HELP CITIES
WE PROVIDE WORK SPACE
​Reserve Meeting Space
Member Login
​Staff Login
Let's Talk
Our Privacy Policy
Our Digital Millenium Copyright Act Policy
©2022 Moonshot at NACET. All rights reserved. Space/astronaut training photography courtesy of Lowell Observatory. 
  • Home
  • Who we are
  • What We Do
    • We help entrepreneurs >
      • Education + Mentorship
    • We help cities
    • Moonshot Community Planner
  • Our Locations
    • Flagstaff, AZ >
      • About Flagstaff
      • Rent Space
      • Flagstaff Members
      • Flagstaff Graduates
      • Reserve Meeting Space
      • Resources
    • Sedona, AZ
    • Tucson, AZ
    • Rim Country
    • Winslow I-40
  • Our Team
  • Success Stories
  • Events
    • AZ Pioneer Pitch 22/23 >
      • Pioneer Pitch Marketing Templates
    • Innovate Waste Challenge 2023
    • WE Mean Business
    • Past Events >
      • WE MEAN BIZ April Event
      • Entrepreneurship Intern Certification
      • Sedona Workshop
      • Shoemaker Awards 2022
      • Mission Control for Northeastern Arizona
      • Mission Control Pitch
      • Makers Shakers
      • Biz of Bio Bootcamp >
        • Keynotes - Bootcamp
        • Workshops - Bootcamp
      • Women's Speaker Series >
        • How to Tune Into & Use Intuition in Business
        • Women In Nonprofit
        • Women Who Swim With Sharks
        • Women Who Changed Careers
      • Flagstaff 2020 Innovate Waste And PPE Challenge
      • AZ Pioneer Pitch 21/22 >
        • Globe 2022
        • Rim Country 2022 >
          • Rim Country SBDC Workshops
        • South Navajo County 2022
        • Flagstaff 2021 >
          • Participant Info 2021 FLG
          • Workshops
          • Business Bootcamp
        • Winslow Holbrook Joseph City 2022
        • Verde Valley 2021
      • Innovation IP Bootcamps
      • High School Hire Summer Camp
      • Entrepreneur Awards
      • TrueFutureTV Premiere
      • Learn to Code
      • 2019 AZ Pioneer Pitch >
        • Flagstaff 2019
        • Verde Valley 2019
        • Chandler 2019
        • Navajo-Apache-co-2019
        • Page, AZ 2019
  • News
  • Donate
  • Contact Us
    • Photo Release Form
  • Apply Now
  • Home
  • Who we are
  • What We Do
    • We help entrepreneurs >
      • Education + Mentorship
    • We help cities
    • Moonshot Community Planner
  • Our Locations
    • Flagstaff, AZ >
      • About Flagstaff
      • Rent Space
      • Flagstaff Members
      • Flagstaff Graduates
      • Reserve Meeting Space
      • Resources
    • Sedona, AZ
    • Tucson, AZ
    • Rim Country
    • Winslow I-40
  • Our Team
  • Success Stories
  • Events
    • AZ Pioneer Pitch 22/23 >
      • Pioneer Pitch Marketing Templates
    • Innovate Waste Challenge 2023
    • WE Mean Business
    • Past Events >
      • WE MEAN BIZ April Event
      • Entrepreneurship Intern Certification
      • Sedona Workshop
      • Shoemaker Awards 2022
      • Mission Control for Northeastern Arizona
      • Mission Control Pitch
      • Makers Shakers
      • Biz of Bio Bootcamp >
        • Keynotes - Bootcamp
        • Workshops - Bootcamp
      • Women's Speaker Series >
        • How to Tune Into & Use Intuition in Business
        • Women In Nonprofit
        • Women Who Swim With Sharks
        • Women Who Changed Careers
      • Flagstaff 2020 Innovate Waste And PPE Challenge
      • AZ Pioneer Pitch 21/22 >
        • Globe 2022
        • Rim Country 2022 >
          • Rim Country SBDC Workshops
        • South Navajo County 2022
        • Flagstaff 2021 >
          • Participant Info 2021 FLG
          • Workshops
          • Business Bootcamp
        • Winslow Holbrook Joseph City 2022
        • Verde Valley 2021
      • Innovation IP Bootcamps
      • High School Hire Summer Camp
      • Entrepreneur Awards
      • TrueFutureTV Premiere
      • Learn to Code
      • 2019 AZ Pioneer Pitch >
        • Flagstaff 2019
        • Verde Valley 2019
        • Chandler 2019
        • Navajo-Apache-co-2019
        • Page, AZ 2019
  • News
  • Donate
  • Contact Us
    • Photo Release Form
  • Apply Now