We are so glad to have you at Hideaway and would love to share your story! Student Name * First Name Last Name Parent/Guardian Name First Name Last Name Email * Media Use Permission and Waiver * I hereby grant and authorize CKREquine DBA Hideaway Acres (hereafter referred to as Hideaway Acres), its employees and agents to make use of, license or assign the use of, my image, appearance, likeness, voice and/or photograph, verbal or written quotations and other reproductions of any of these, in still photographs, videotapes, publications, audio, sound recordings, web sites, electronic and other media and/or motion pictures, (hereinafter all of which are included in the term “Material”), and to do so with or without mention of my name. I understand and agree that I am to receive no compensation of any kind, monetary or otherwise, on account of or arising from the production, publication, recording, rebroadcasting, or other use of such Material. Hideaway Acres shall have complete ownership of the Material produced or published and shall have the exclusive right and license to make such use of that Material as it wishes, including, but not limited to the right of performance, display, reproduction and distribution in all media, and the right to create, perform, display and distribute derivative works of the Material. I agree to indemnify and hold Hideaway Acres, its employees and agents, harmless from and against any and all claims, damages, lawsuits, judgments, and expenses, including reasonable attorneys’ fees that Hideaway Acres may become liable to pay or defend arising out of or caused by any matter or material furnished or spoken by me in connection with my appearance. I hereby release Hideaway Acres, its employees and agents from all expenses, claims and liabilities incurred by me arising out of or in connection with my appearance and/or the use of the Material, except to the extent that those expenses, claims or liabilities are the direct result of the negligent acts or omissions of Hideaway Acres, its employees or agents. This agreement shall be governed and construed according to the laws of the State of Maine. I am the legal adult listed above and I agree. Thank you!