The Citizen Public Safety Academy is limited to 40 participants and is filled on a first-come, first-served basis.
Notice: The City of Concord does not discriminate on the basis of age, sex, race, religion, national origin, or disabilities. If anyone needs special accommodations, please contact Lindsay Manson at 704-920-5210. This application may be available in an alternate format for users with special needs
I, the undersigned, hereby grant to the City of Concord permission to take photographs of me and use my likeness and of my child(ren) and his or her likeness, in the form of a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications for any legal purpose. I understand and agree that all photos will become and remain the property of the City and will not be returned to me.
I hereby authorize the City, to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness or the likeness of my minor child(ren)appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.
I hereby hold harmless, release, and forever discharge the City, its officers, employees and agents from any and all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate or the estate of my child(ren) have or may have by reason of this authorization.
I HAVE READ THIS PHOTO RELEASE AND CONSENT FORM BEFORE AFFIXING MY SIGNATURE BELOW, AND I UNDERSTAND AND AGREE TO ITS TERMS. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW.