The Village Crier

2. First Name
3. Last Name
5. Email Address
7. Photo Credit Name
9. Waiver

   Please complete the waiver below by filling out the Waiver Confirmation section. The City cannot use your photo without a completed waiver.

11. Waiver: Private Citizen Retaining Copyright

    By submitting this photo/image/graphic/creation (“Work”), you are stating that you are the owner of the rights to the Work and are providing permission for the Village Crier and the City of Cherry Hills Village to use, display, re-use, reproduce, distribute, publish and re-publish the Work in whole or in part, in any medium (including electronic web site media and social media platforms, including but not limited to www.cherryhillsvillage.com) for City public relations, promotion and advertising without any monetary gain or compensation and without limitation as to time. You certify that the Work is your own, no one else was involved in its creation, and the Work is expressly authorized for City use. You agree to indemnify and hold harmless the City from all claims that may arise from its use of the Work. Please confirm by stating “confirmed by” with your name and the name and creation date of the Work.

13. Waiver Confirmation

    Your Name / Name of Photo / Creation Date of Photo

15. After Confirming The Waiver, Upload Your Photo

    Please send a large, original, jpeg file so it can be sized accordingly.

Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

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