Welcome to the Video Submission Page

Please fill out the following form to submit your video into the contest. You will receive an automated email response after submitting.

 - Video_Consent.pdf Video Consent Form
Each person appearing in the video must fill out this form. Please download, fill out, and email to KEZVideoContest@nreca.coop.
pdf (96k)
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 By signing my name below, I acknowledge and agree that:
  1. I have read the contest rules and understand and agree to them.
  2. I have secured all necessary rights and permissions for my video.
  3. I hold Touchstone Energy Cooperatives and its agents harmless from damage or loss that may result from my failure to secure necessary rights and permissions.
  4. I agree that Touchstone Energy Cooperatives shall have exclusive, royalty-free, irrevocable license to use my video for purposes in any manner that Touchstone Energy Cooperatives wishes including copying, editing, distributing, display, and for promotional purposes, and in any medium it chooses, including posting and archiving indefinitely on any Touchstone Energy Cooperatives site, YouTube and any other website that is accesible to the public.
  5. I agree that the video submitted by me is an original work produced by me and/or my group and does not infringe on any copyright.
  6. I agree to release and discharge Touchstone Energy Cooperatives and its employees and associates from any liability for any use, misappropriation or disclosure of any information, including, but not limited to, all claims for damages for defamation, slander, insult, invasion of privacy or any other claim based upon the use by Touchstone Energy Cooperatives of the video.
  7. To the best of my knowledge, all information provided in the application and releases is true and accurate.
 

(09/24/2016)
 

 If applicant is younger than 18, a parent or legal guardian must complete the following: I, the undersigned, parent or legal guardian of the applicant, hereby execute the foregoing for and on behalf of the applicant and agree to bind myself and the participant to such terms. I acknowledge that I have full legal authority to act for and on behalf of the applicant, and I agree to indemnify and hold Touchstone Energy Cooperatives harmless for any expenses, claims, or liabilities that may arise as a result of any insufficiency of my full legal authority to execute the foregoing.
 

(09/24/2016)