Skip to form

City of Royal Oak, MI

support@romi.gov

203 S Troy St, Royal Oak, MI, 48067, US

Student Information

Student Name

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Permission for Release

I, the parent or legal guardian of the above stated student [child] grant the Royal Oak Downtown Development Authority and its agents my permission to display my child's artwork that is submitted for the I Love Royal Oak drawing contest. Further, the Royal Oak Downtown Development Authority may display my child's name, school teacher, and school information on displayed artwork, within media press releases announcing winners, and any other web content for marketing purposes.

Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use. 

I hereby release Royal Oak Downtown Development Authority and its agents and assigns from any claims that may arise from these uses, including but not limited to claims of defamation or invasion of privacy, or of infringement of moral rights or right of publicity or copyright.

Signed:

Choose how to sign

Upload File Artwork & Artwork Prompt

Click Here to Upload