Submission Form

General information:

* indicates a required field.

First Name*

Last Name*

Mailing Address*

City*

Province*

Postal Code*

Telephone*

E-mail*

Date Visited*

Site Visited*

Story*


Photo Disclaimer*

I understand and agree that I may appear in photographs or images (the "Photograph(s)") taken or created by the Photographer identified above for the purpose of the Alberta Conservation Association ("ACA").

I hereby irrevocably consent to ACA using, reproducing, publishing, displaying and distributing the Photograph(s) in its publications, posters, exhibits, films, video presentations, audio-video presentations, news releases, advertisements and related communication media.

I hereby irrevocably waive all rights I may have in the Photograph(s) and the content of the Photograph(s), including the right to any compensation and the right to inspect or approve of any use, reproduction, display or distribution by ACA.

I agree and confirm that checking the box labeled 'Yes' below binds me and my heirs, executors and administrators forever.

Yes