First Name *Middle NameLast Name *Email Address *Phone NumberDescription of Photo (100 words or less)0 / 180Upload Contest PhotoChoose FileNo file chosenDelete uploaded fileConsent *I, the undersigned, agree that the original photograph submitted herein is my original creation, that it does not plagiarize any other creative work nor infringe upon the copyrights of artists, photographers or other entities and that it may be used without fee by Bird Strike Committee USA and to those it may authorize at their discretion. I warrant that I am responsible for the legal and ethical integrity of my photograph. A photograph may be rejected by conference organizers if, in the organizer’s opinion, the photograph appears to be derived without authorization from another’s work. I acknowledge that I have read and understood the official rules and regulations for 2024 Bird Strike Committee USA Photo Contest. I represent that the attached work qualifies for submission to this competition. I hereby irrevocably give my consent to Bird Strike Committee USA and to those it may authorize, to photograph, film, and/or videotape me and/or my artwork, and to quote and record statements made by me and to use, reproduce, publicly display, distribute, sell, and/or create derivative works from my image, images of my artwork, and statements made by me (with or without my name) and to identify me by name in all forms of media now known or later developed, including, without limitation, on the Internet, for any editorial, promotional, advertising, trade, commercial, or other purpose whatsoever, in perpetuity throughout the world. I understand that Bird Strike Committee USA and those it may authorize shall not be responsible for unauthorized duplications/use by third parties on the Internet or otherwise. I hereby release Bird Strike Committee USA, those it has authorized, and their respective successors and assignees, from any and all claims and/or damages that may arise regarding the use, reproduction, display, distribution, and/or sale of my image or images of my artwork, or statements made by me as consented to herein, including any claims of defamation, invasion of privacy or infringement of moral rights, rights of publicity, or copyright. By signing this form, I certify that any work submitted is original and mine alone and that I have the right to grant the permissions herein granted. I agree to the rules of entry and that the decisions of the jurors and judges are acceptable and finalDate *Send MessagePlease do not fill in this field.