Emory University - Emory Cares: All Year - Project Submission Form – Emory Cares: All Year

Project Lead Contact Information

First Name: Required Field

Last Name: Required Field

Preferred Email: Required Field

Email

Emory Affiliation: Required Field

Class Year:

Will this project have more than one project leads?

Please expect an Emory Cares event package 3-5 days prior to your project. Only guests that register at least a week prior to the event (when the box will be shipped) are guaranteed an Emory Cares t-shirt.

Below, please list the name and address for shipping via FedEx:

Recipient Name: Required Field

Street Address 1: Required Field

Street Address 2:

City:

State:

Zip/Postal: Required Field

Country:

Phone Number:

Home or Business: Required Field

By submitting this form, I give Emory University the right to photograph, videotape or otherwise record or collect my name, likeness, voice and sounds ("Works") during my attendance at the event. I irrevocably assign and grant to Emory all rights in these Works and the right to use or sublicense these Works and my name, likeness and biography, in Emory’s discretion, in all media and for any purpose, including without limitation, advertising and other promotions for Emory, without any further consideration to myself or my heirs, assigns, or legal representatives, and without any right to review any such use beforehand.