BCSA: National Specialty 2008

	2008 SPECIALTY LOGO CONTEST COPYRIGHT RELEASE Photo submission deadline 10/8/07

Complete the form below for each photo submitted. Review your information carefully before pressing "Submit Release". (R) = Required Information

OWNER/DOG INFORMATION

First Name:

(R)

Last Name:

(R)

City/State/Zip:

(R)

Phone:

(R)

E-mail:

(R)

Confirm E-mail:

(R) (Re-enter your e-mail address.)

Registered Name:

(R)

PHOTOGRAPHER INFORMATION

First Name:

(R)

Last Name:

(R)

City/State/Zip:

(R)

Phone:

(R)

E-mail:

(R)

Confirm E-mail:

(R) (Re-enter photographer e-mail address.)

PHOTO VERIFICATION AND AGREEMENT - Select "Yes" or "No" of the statement that applies to the photo submitted.

(R)			Verification #1: I verify that I took the photograph of the dog in the photo I am submitting and that I am the owner/co-owner of this dog.
(R)			Verification #2: I verify that I have permission from the photographer to submit this photo for this contest and that the photographer is aware that it will be used as a reference photo to create original artwork and for BCSA to use said image created from said photo for advertising the 2008 National Specialty and to sell items with said image for their sole profit.
(R)			Agreement: By selecting "Agree", I confirm that it has the same effect of my personal signature agreeing to the conditions of the above Copyright Release and Photo Verification.

PHOTOGRAPH SUBMISSION
Electronic/Mail::			Instructions for submitting your photo either electronically or via US mail are on the following page. Please check your information and click "Submit Release".