Fundraising Event Video - Minnesota Children's Museum

Thank you for agreeing to participate in a video the museum is creating to help raise funds at our annual gala. Please complete the form below. We will be in touch if your family is chosen to participate.

Video Shoot Details

Date: Friday, March 18, 2022

Time: 15-minute block between 10 a.m. to 1 p.m.

Location: Minnesota Children’s Museum

Minnesota Children's Museum Fundraising Event Video and Media Release form
Name*
First Last
Email*
Phone number (mobile preferred)
Are you a museum member?
- Yes
- No
What is your preferred time period to be at the museum on March 18?
- 10 a.m. to 11 a.m.
- 11 a.m. to Noon
- Noon to 1 p.m.
Media Release
The museum may produce video, audio recordings or still photographs for social media, MCM.org and/or publication which may involve the use of your family’s likenesses, or voices. I understand that my and/or my child’s likeness or voice may be used in the manner described above, and grant Minnesota Children's Museum the right to use and reuse, in any manner at all, the video, audio recording or still photographs as described above. I hereby forever release and discharge the museum from any and all claims, actions and demands arising out of or in connection with the use of said video, audio recording or still photographs as described, above, including, without limitation, any and all claims for invasion of privacy and libel. This release shall inure to the benefits of the assigns, licenses and legal representatives of the museum as well as the party(ies) for whom the museum took video, audio recording or still photographs.
- I agree
Your Story (Share a brief description of the positive impact the museum has had on your family):
Name
This field is for validation purposes and should be left unchanged.

Minnesota Children's Museum Fundraising Event Video and Media Release form

Media Release

Minnesota Children's Museum

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