Empowering Voters. Defending Democracy.
JOIN/RENEW
GIVE
0
Items :
0
Subtotal :
$
0.00
View Cart
Check Out
Home
About Us
Voting
2023 They Represent You (TRY)
2023 Upcoming November Elections
Voter Registration Basics
How Do I Vote by Absentee Ballot
Right to Vote In Special Populations
Upcoming Elections (Dec – October)
Our Work
Our Work Our Program
Electoral Reform
RCV/IRV Concurrence at NYS Convention 2023
Healthcare
Healthcare Concurrence
Redistricting Following the 2020 Census
2023-24 PWM Priorities (Program)
Candidate Forums
Diversity, Equity, and Inclusion (DEI)
Youth Engagement
Voter Outreach
Watch-Dog Issues
Calendar
Upcoming Events
Past Events
News
Contact Us
Join Us
Empowering Voters. Defending Democracy.
JOIN/RENEW
GIVE
Home
About Us
Voting
Voter Registration Basics
How Do I Vote by Absentee Ballot
Right to Vote In Special Populations
2023 They Represent You (TRY)
2023 Upcoming November Elections
Upcoming Elections (Dec - October)
Our Work
Our Work Our Program
Redistricting Following the 2020 Census
Electoral Reform
Candidate Forums
RCV/IRV Concurrence at NYS Convention 2023
Diversity, Equity, and Inclusion (DEI)
Healthcare
Youth Engagement
Healthcare Concurrence
Voter Outreach
2023-24 PWM Priorities (Program)
Watch-Dog Issues
Calendar
Upcoming Events
Past Events
News
Contact Us
Join Us
0
Items :
0
Subtotal :
$
0.00
View Cart
Check Out
Test Page
Bit Part and Featured Extra Release Form for Voting Video Contest
Please enable JavaScript in your browser to complete this form.
(Each such actor in the video must fill out their own release form, have it signed by a parent/guardian as appropriate, and have it included in the single Application)
Video Title
*
Others on This Team
Your Name:
*
First
Last
Your Birth Date (M/D/Yr):
*
Your Email:
*
Your Phone #:
*
Your High School (name):
Your expected graduation date (Year):
I agree that If the above named video is
• Selected for a prize or honored as a finalist, to grant the LWV an on-going permanent license to post it on LWV-controlled platforms, including LWV-controlled social media — and the LWV may describe it as “prize-winning,” “honored,” “selected by the League,” etc.
• Not selected for a prize or honored as a finalist, that I may not represent it as a League video or as an entry in a League contest without advance written permission from our League
Your Signature:
*
Date:
If you are under age 18 as of the date of this submission, you need a parent/guardian to sign their agreement to above release.
*
I agree that the video submission that includes video/audio of my child may be submitted under the terms defined above, granting the League of Women Voters of Port Washington-Manhasset an on-going permanent license to post it on LWV-controlled platforms, including LWV-controlled social media.
Parent/Guardian Signature:
*
Date:
Parent/Guardian Signature:
*
Date:
Submit
GDPR