City of Irvine Website - Citizen Photographer

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	CITY MANAGER'S DEPARTMENT Public Information Office
	CITIZEN PHOTOGRAPHER FORM

NOTE: Fields highlighted in YELLOW are required.

(Session will expire in 20 minutes)

P H O T O G R A P H E R I N F O R M A T I O N
FIRST NAME	LAST NAME

ADDRESS*	PHONE*

CITY	STATE	ZIP

EMAIL*	RE-TYPE EMAIL*

P H O T O D E T A I L S
UPLOAD PHOTO (File size must be a minimum of 2 MB and a maximum of 20 MB)

LOCATION PHOTO TAKEN	YEAR PHOTO TAKEN

DESCRIPTION (ex. Enjoying the festivities at Irvine Global Village, Hiking in Bommer Canyon)

A G R E E M E N T
IN ORDER TO UPLOAD YOUR PHOTO, YOU MUST AGREE TO ALL OF THE FOLLOWING:

1.	I ATTEST THAT I AM AT LEAST 18 YEARS OF AGE OR OLDER.

2.	I ACKNOWLEDGE THAT IF THERE ARE PEOPLE WHO ARE EASILY RECOGNIZABLE IN MY PHOTO, I HAVE THEIR PERMISSION TO SUBMIT THEIR IMAGE FOR USE BY THE CITY.

3.	I HEREBY IRREVOCABLY CONSENT TO AND AUTHORIZE THE USE AND REPRODUCTION BY THE CITY OF IRVINE, OR ANYONE AUTHORIZED BY THE CITY OF IRVINE, OF ANY AND ALL PHOTOGRAPHS. THESE PHOTOGRAPHS MAY BE USED FOR ANY PURPOSE WHATSOEVER, WITHOUT COMPENSATION.


	I AGREE TO ALL OF THE ABOVE. DATE


Please enter the word above in the text box below.


The City of Irvine takes your privacy seriously. This form asks you to provide the City with certain personal information. Such information is being requested and will be utilized by the City for the specific and limited purpose of future City correspondence regarding the subject-matter of this form. Pursuant to Measure S, an initiative ordinance passed by City voters in 2008, the personal information noted by an asterisk (*) on this form will be kept confidential. Unless you expressly indicate to us otherwise or unless compelled by a court order, it will not be shared with other agencies, businesses or individuals.