BANA Summer Institute 2022 program
Are you registering more than one child for the BANA PROGRAM?
If yes then you will need to register each child individually. After the first registration, you will need to enter in some information in order to complete the second and third registrations
Do not complete this application until your subsidy has been approved
PLEASE DO NOT CONTINUE
To make payment arrangements, please call the program coordinator at 514-481-9400 or email her at email@example.com
I hereby give the Quebec Board of Black Educators (QBBE) the right and permission to record my image or likeness while I participate in the Project/Event identified below. Furthermore, I hereby irrevocably give QBBE the right and permission to use my image or likeness so recorded.
QBBE’s right of use shall include the right to publish, adapt, exhibit, reproduce, edit, distribute and display my image or likeness in connection with any product or service for any purpose (including marketing, promotion advertising and trade) in all markets, media or technology now known or hereafter developed.
For certainty, and without limiting the above, QBBE’s right of use shall also allow it to publish my image or likeness on the internet, incorporate my image or likeness into promotional videos and share my image or likeness with media organizations for any purpose.
I shall not have any entitlement to compensation for QBBE’s recording and use and shall not make any claim against QBBE, its affiliates, agents, event partners, governors, officers and/or employees for damages that may arise from its recording or use including, without limitation, any claim that is based on an alleged misrepresentation, negligence, defamation, breach of privacy, right of publicity infringement or an infringement of any applicable privacy legislation.
By signing my name, I acknowledge that I have read, understand and agree with the contents contained within this Consent and Release.
If under 18 years of age, a signature of a parent or guardian is required.
I acknowledge that I have read and understood this Consent and Release. I agree to its terms in connection with the photographic or electronic records of the likeness of my child:
Select the platforms you wish to give permission for use:
Project/Event: Fall 2021 Academic Support