Halloween in the D Photo Submission

Please complete this form in its entirety to have your Halloween submission showcased on City of Detroit media outlets.

Please enter your full name

Please select your City Council District of residence. If you are unsure of you District, visit https://detroitmi.gov/webapp/interactive-district-map

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Please provide a detailed description of the submitted picture. Examples: James, age 8, dressed as Black Panther Wright family baking spooky cookies *Note: If the image include multiple people, please list the names from left to right.

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By checking this box, I hereby authorize the City of Detroit to use and publish video film footage, sound track recordings and photos taken of me and/or the minor child(ren), and our name(s). I release the City of Detroit, and any collaborating third parties from any expectation of confidentiality for the minor children in this application and myself, and attest that I am the parent or legal guardian of the children in this application and that I have the authority to authorize the City of Detroit to use their likenesses and names. I acknowledge that neither the minor children nor I will receive financial compensation for the use of our likenesses and/or names, and relinquish any claims to such compensation. I further agree that inclusion of my or the names or likeness of the minor children in this submission confers no rights of ownership whatsoever in any materials in which they are reproduced. I release the City of Detroit, and their officers, trustees, employees, and third party partners from liability for any claims in connection with the uses and reproductions of any names or likenesses that are described in this application.

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