SafeGen Video Contest Entry

Team Member Entry Form

Only complete this for team submissions, and if your Team Leader has already submitted the Official Entry Form.

Full Name

School Name

School City

Phone Number

Date of Birth

Full Name of Team Leader

Name of Video

How did you hear about this contest?

Consent and Release

I, the undersigned, have read, understand and agree to abide by the Terms and Conditions governing the 2025 SafeGen Youth Workplace Video Contest (as set out in this Official Entry Form) and certify that all information contained in this completed Entry Form is true and accurate. By signing this Entry Form, I irrevocably grant CAREERS: The Next Generation Foundation (“CAREERS”) the right and permission to: (1) publicly disclose and use my name, the municipality I reside in, likeness, school, age, grade and/or prize information for promotional or other purposes, without compensation; and (2) to copy, modify, play and use the video submission (“Video”) accompanying this Entry Form in whole or in part, without compensation. The Video has been originally and lawfully created by me or my team and the use, modification, play or reproduction of the Video by CAREERS, will not give rise to any third-party claims for infringement or violation of copyright, trademark or any other right of any third party, or to any third-party claims including libel, defamation, violation of privacy or contract breach. I have obtained all necessary permissions, consents, licenses, or other approvals of third parties (including, but not limited to, all individuals appearing in the Video and all holders of copyright in any copyrighted music, images or other materials used in the Video) necessary or appropriate for the preparation or use of the Video and such approvals are enclosed. I release CAREERS from any liability in connection with my participation in this contest, or the preparation or use of my or my team’s Video and agree to indemnify CAREERS for any liability and all reasonable costs arising from any third-party action, claim or proceeding commenced against CAREERS because of the Video. I warrant that I am the owner of copyright or act with the authority of the owner to grant to CAREERS the non-exclusive worldwide right to use the copyright material.

Student Name

Date

Consent of Parent or Guardian

I, the parent or guardian of the above named minor, agree that they may participate in the Student Video Contest and, by signing below, hereby voluntarily join in the foregoing Consent and Release.

Parent's Name

Date

Your personal information is collected and used only for the purposes of administering the SafeGen Youth Workplace Video Contest, and will not be disclosed except as may be specifically mentioned elsewhere in this Entry Form, in the associated contest Terms and Conditions, with your written consent or as may otherwise be permitted or required by the Personal Information Protection Act (Alberta). Questions regarding the collection, disclosure and use of your personal information may be directed to safegen@nextgen.org.

Please check this box to agree to the terms below

I hereby consent to receive emails, phone calls or other correspondence deemed necessary by CAREERS: The Next Generation in relation to this or other CAREERS related events, opportunities or information. I understand this consent can be revoked at any time.

Contact Information
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