Personal information you provide on this form is collected pursuant to the Community Charter/Local Government Act, and will only be used for the purposes of evaluating this issue. Your personal information will not be released except in accordance with the Freedom of Information and Protection of Privacy Act. Questions about the collection of your personal information may be referred to the City Clerk at 2670 Cameron Road, West Kelowna, BC or 778-797-1000.
By checking this box I authorize and grant full permission to the City of West Kelowna to the non-exclusive rights to freely use this photograph in any published work including newsletters, promotions, web pages, and other promotional material. Submitting this form also signifies that I have received the proper authorization(s) to photograph the subject(s) in the photo(s) and the photo that I am submitting is not protected by copyright or other proprietary rights held by a person other than myself. I agree to indemnify and hold harmless the City of West Kelowna from and against all claims or damages arising out of any breach of these representations.
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