I hereby grant and authorize the University of Rochester (the “University”), and any others acting pursuant to its authority, permission to photograph, film, and/or record me and to use my name, image, other biographical information, testimonials, quotes, or other statements, in connection with these photographs and recordings (together the “Media Material”). I understand the Media Material shall become the property of the University. I grant and authorize the University and any others acting pursuant to its authority permission to use, reproduce, exhibit, distribute, or license this Media Material in any and all media now known or later developed (including without limitation print media, electronic media, social media, video, audio, television, radio, publications, websites, or the internet) for any and all lawful purposes that the University and any others acting pursuant to its authority deem appropriate (including without limitation news, informational, educational, advertising, or promotional purposes).
I understand that the Media Material may be altered, edited, or modified, and I hereby waive any right of inspection or approval of any final product that uses the Media Material. I also acknowledge and agree that I have no right or claim to any royalty, payment, or other compensation arising out of or in connection with any taking or use of the Media Material by the University and any others acting pursuant to its authority.
I agree to release, hold harmless, and not sue the University and any others acting pursuant to its authority for any and all claims, causes of action, suits, demands, or liability of any kind whatsoever arising out of or in connection with the media material, that I or any other person acting on my behalf may make.
There is no time limit on the validity of this release, nor is there any geographic limitation on where the Media Material may be distributed.
I understand that I can make a written request to remove the Media Material at any time in the future by submitting a request. The University will do its best to remove any requested Media Material; however, I understand that some Media Material, such as digital materials, are difficult and/or impossible to remove once posted online.
I acknowledge and agree that I (or if I am under the age of 18, my parent or legal guardian) have read this Consent and Release Form in its entirety and understand it, that I have executed this Consent and Release Form voluntarily and after sufficient time for consideration, and that this Consent and Release Form is binding upon myself and any other person acting on my behalf.
Parent/Guardian Name and Signature (if Event/Campaign participant is under 18 years of age)
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