District of West Kelowna : Submit a Photo

*Asterisk denotes a required field

Photographer's Information

First Name*

Last Name*

Email Address*

Street Address1

Street Address2

City

Province/Territory

Postal Code/Zip Code

Home Phone

Work Phone

Photo Information

Name of Piece*

Date Taken

Description

Upload File*

*By checking this box I authorize and grant full permission to the District 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 District of West Kelowna from and against all claims or damages arising out of any breach of these representations.