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Paddle to Swinomish Tribal Journey 2011 July 25 th to 31 st Media Application Please print clearly: Media Organization Name: __________________________________________________ Authorized Representative(s): _______________________________________________ Mailing Address: __________________________________________________________ City/State/Zip: ____________________________________________________________ Phone:___________________ Cell:______________________Fax: _________________ Email Address: ___________________________________________________________ Purpose of media coverage: _________________________________________________ Please select the method(s) you wish to utilize (select all that apply): Notes_____________ Pictures_____Video ______Audio______ If you will be recording videos, please select the method(s) of recording: Stationary_____ Aerial Shots* ________ *Certain rules apply regarding aerial recording set forth by the National Oceanic & Atmospheric Administration (NOAA) National Marine Sanctuary. Conditions of Agreement I agree to abide by all rules, regulations, and laws enacted by the Swinomish Indian Tribal Community and any other applicable laws I agree to follow the protocols outlined by Tribal Journeys and respect the traditions of the participants in Tribal Journeys. Specifically, I agree NOT to record or photograph any event, dance, song or tribal protocol if so directed by Tribal Journeys 2011 Coordinators. I agree to check in with the on-site Media Coordinator upon arrival. The Media Coordinator shall be located at the Media Center. 1 of 2

Media Application - Paddle To Swinomish

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Paddle to Swinomish Tribal Journey 2011July 25th to 31st

Media ApplicationPlease print clearly:Media Organization Name: __________________________________________________Authorized Representative(s): _______________________________________________Mailing Address: __________________________________________________________City/State/Zip: ____________________________________________________________Phone:___________________ Cell:______________________Fax: _________________Email Address: ___________________________________________________________Purpose of media coverage: _________________________________________________Please select the method(s) you wish to utilize (select all that apply):Notes_____________ Pictures_____Video ______Audio______If you will be recording videos, please select the method(s) of recording:Stationary_____ Aerial Shots* ________*Certain rules apply regarding aerial recording set forth by the National Oceanic & Atmospheric Administration (NOAA) National Marine Sanctuary.

Conditions of Agreement

• I agree to abide by all rules, regulations, and laws enacted by the Swinomish Indian Tribal Community and any other applicable laws

• I agree to follow the protocols outlined by Tribal Journeys and respect the traditions of the participants in Tribal Journeys. Specifically, I agree NOT to record or photograph any event, dance, song or tribal protocol if so directed by Tribal Journeys 2011 Coordinators.

• I agree to check in with the on-site Media Coordinator upon arrival. The Media Coordinator shall be located at the Media Center.

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Paddle to Swinomish Tribal Journey 2011July 25th to 31st

Security• The Tribe reserves the right, in its sole discretion, to terminate or restrict your access

to the Swinomish Reservation. The breaking and/or ignoring of our laws or rules will result in escorted removal from the Reservation.

• The Swinomish Tribal Police (SPD) will be present during the event. If there is a need to contact the SPD, you may contact them at 911. Additionally, there will be a security detail.

Limit of LiabilityThe Swinomish Tribe and/or the Swinomish Tribal Canoe Journey Committee will not be responsible for any lost, stolen or damaged property of media representatives.

Release and Indemnification• In return for obtaining approval of this application, I agree to assume all risks of loss

and injury that may arise out of my participation. • I further agree to defend, hold harmless and indemnify the Swinomish Tribe, its

officers, employees, agents, and Tribal Canoe Journey Volunteers from all suits, claims, or liabilities of any nature on account of injuries or damages sustained by any person or property resulting in whole or in part from my participation in and actions during the Tribal Canoe Journey.

By signing below, I hereby agree to abide by the terms and conditions set forth above:

__________________________________ / ___________________________Printed name Date_______________________________________ / ________________________________Signature DateIf you have any questions, please contact:Robin Carneen, Paddle to Swinomish Media CoordinatorEmail: [email protected]

Telephone: (360) 421-1209 Cell / (360) 466-7354 Desk / (360) 358-5723 Hospitality2 of 2