Event Form

    Demographic Information

    Contact Name

    Organization Name

    Address

    Cell Number

    Website

    Email Address

    Event Information

    Event Name

    Event Date

    Event Start & End Time

    Event Address

    Event Page Link

    Event Email

    Brief Description of Event

    Certification of Self Registration

    I, hereby acknowledge that I have read and understand the Mission, Vision and Values of Bengali Herald (BH) and will respect them in the manner in which it is intended. In receiving the FREE /no-fee event advertisement to Bengali Herald (BH) website (www.bengaliherald.com), I hereby agree to forever hold harmless and release from any and all legal and financial liabilities from the said company, organization and its volunteers, employees and officers for providing the said free services in good faith. I acknowledge and understand that the I’m fully responsible for the contents, pictures, videos etc. of the advertise event to Bengali Herald Website. Indemnify and Hold Harmless 1. I declare under penalty of perjury under the laws of the United States of America and State of Virginia that the following is true and correct: a. I do hereby give Bengali Herald (BH), its licensees, and legal representative, the right to use my name (or any fictional name), picture, portrait, or photograph of me or the event and or organization in any manner without any retribution. b. I forever waive all claims against any of the Released Parties for any damages, losses or claims, financially and or any other way whether known and unknown, which arise during or result from my participation, regardless of whether or not caused in whole or part by the negligence or other fault of any of the Released Parties. I release and forever discharge the Released Parties from all such claims. c. I agree to indemnify and hold the Released Parties forever harmless from all losses, liabilities, damages, costs or expenses (including but not limited to attorneys’ fees and other litigation costs and expenses) incurred by any of the Released Parties as a result of any claims or suits that I (or anyone claiming by, under or through me) may bring against any of the Released Parties to recover any losses, liabilities, costs, damages, or expenses which arise during or result from my participation, regardless of whether or not caused in whole or part by the negligence or other fault of any of the Released Parties. d. I agree that any business I’m authorized to conduct within my representative organization will be my sole responsibility, Bengali Herald (BH) is only authorizing space to me/us and assumed no responsibility for any of my activities. e. I agree and confirm that no confrontation of any kind should occur during the transaction with Bengali Herald (BH) website visitors. f. I acknowledge and understand that Bengali Herald (BH) reserve the exclusive right to publish or not to publish my content and or remove my published advertisement at anytime with or without any prior notification. g. Bengali Herald (BH) holds the exclusive right to terminate this agreement/contract at any time without any notice, furthermore if Bengali Herald (BH) observe any kind of disturbance or inappropriate activities management holds the exclusive right to ask to remove them immediately without any explanations and permanently decline the organization from any future involvement in future. h. I solemnly agree and confirm that I will obey by all and any policy of Bengali Herald (BH). I the undersigned, certify that I agree to the above terms and conditions and acknowledge the confidentiality of this registration application and executed on the, day of , .