C3: Waiver and Release Form


CPS Energy desires to use and publicize the name, likeness, voice and other personally identifiable information (“Likeness”) of the individual(s) named herein (“I” or “me”) for advertising, promotion, and other commercial and business purposes. In exchange for the intangible value I gain from the opportunity to participate in CPS Energy’s Customer Centric Competition, I irrevocably authorize and license to CPS Energy the unqualified right to use my Likeness at CPS Energy’s sole discretion for any purpose. I further authorize CPS Energy to use my Likeness in all materials created by or on behalf of CPS Energy (the “Materials”) on a perpetual basis for all purposes, commercial or otherwise, at CPS Energy’s sole discretion.  I irrevocably transfer and assign to CPS Energy my entire right, title and interest, if any, in and to the Materials and agree that the Materials are the sole and exclusive property of CPS Energy.


I also understand and agree that the Materials may be recorded and/or edited and may be published in any manner that CPS Energy deems appropriate.  I release CPS Energy, its Board of Trustees, officers, employees, agents, licensees, and assignees from all claims or causes of action that may arise in whole or in part from the broadcast, distribution or any other use of the Materials and/or my Likeness, including, but not limited to claims for invasion of privacy rights, defamation, libel, misappropriation of likeness, violation of an intellectual property right, tort, contract, or any other legal theory.


I certify that my submission to the Customer Centric Competition is an original creation and that I own the copyright or that I have obtained the written permission of the copyright owner.


I further certify that I am eighteen years of age or older and am competent to execute this Waiver and Release on my behalf or and/on behalf of my minor child.*

 Agree on behalf of my minor child