Get ready to beat the heat and have some end of the summer fun! You can submit your entry form for your
group/family/couple/individual, between the dates of August 7 – August 14. During the registration period
keep an eye on our Facebook page City of Clermont Government to see City staff giving sneak peeks at some
of the challenges!
ELIGIBILITY: Open to all ages. Must submit an entry form to be eligible.
ENTRY: Entry forms must be filled out and submitted on or before August 14, 2020 by 3 p.m. Photo
entries must be received no later than 3:00pm on August 21, 2020. All photo entries must be family
friendly and taken within the City of Clermont. Applications must be completed before any entries can be
reviewed. Photos received without a signed Affidavit of Eligibility & Liability and Publicity Release will be
All photos must be in .jpg format and may be a maximum of 8MP (3264 x 2448) in size. There is a
maximum of 10 pictures which must be emailed 5 at a time (2 emails). Entries must be submitted via
email to
WINNER SELECTION: City staff will select the top photo in each of the 3 categories: Most Creative,
Most City of Clermont Themed, and Most Fun.
You will have a full week to complete the Champion Summer Photo Challenge and submit all of your photos by
3:00pm Friday, August 21, 2020 to
This is a FREE event. To participate, and for the opportunity to win a prize for one of our 3 categories: Most
Creative, Most City of Clermont Themed, & Most Fun.
Please e-mail to or drop this entry form off at:
Clermont City Center
Attention: Champion Summer Photo Challenge
620 W. Montrose St.
Clermont FL, 34711
Participant Information:
Name: ___________________________ Name: ___________________________
Name: ___________________________ Name: ___________________________
Address: ______________________________________________________________
Phone Number: ________________________________________________________
Email: _______________________________________________________________
If you have any questions or need more information, please call 352-708-5975
City of Clermont Photo Contest
Affidavit of Eligibility & Liability & Publicity Release
I represent that I am eligible to participate in the City of Clermont’s Photo Challenge.
I represent that I satisfy all eligibility requirements set forth in the official rules, which I acknowledge having read and
understood, and any other requirements by law.
I release the City of Clermont from all liability, injuries, loss and/or damage of any kind arising from my participation in
the Photo Challenge.
I have not perpetuated and will not perpetrate any fraud or deception in connection with the Photo Challenge.
I consent to give the City of Clermont a royalty-free, irrevocable, perpetual, non-exclusive license to use, reproduce,
modify, publish, create derivative works from, and display any phot submission, in whole or in part, on a worldwide
basis, and to incorporate it into other works, in any form, media or technology now known or later developed, including
for promotion and marketing purposes.
I certify that this submission does not infringe on the intellectual property (copyright, trademark, patent) rights of any
third party rights holder, or feature artwork created by another person, that any copyright holder of the submission has
granted permission to participate in this Photo Challenge, and had granted o will grant, to the City of Clermont the right
to publish a winning submission, and that any person featured in the photo who is a minor is my child or that the parent
or legal guardian has consented to permit their likeness to be used in the photo.
I certify that I fully understand the contents of this Affidavit signed by me and that the statements are true and correct.
Print Name: _________________________________________________________
Signature: _________________________________________________________
Date: _________________________________________________________
If Under 18 years of age, this form must be signed by a parent/guardian
Print Name: ________________________________________________________
Signature: ________________________________________________________
Date: ________________________________________________________
click to sign
click to edit
click to sign
click to edit