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Video/Audio Image Release Form

Visual/Audio Image Release Form

I grant permission to Cal Poly San Luis Obispo, its employees and agents, to take and use visual/audio images of me. Visual/audio images are any type of recording, including but not limited to photographs, digital images, drawings, renderings, voices, sounds, video recordings, audio clips or accompanying written descriptions. Cal Poly San Luis Obispo will not materially alter the original images. I agree that Cal Poly San Luis Obispo owns the images and all rights related to them. The images may be used in any manner or media without notifying me, such as university-sponsored web sites, publications, promotions, broadcasts, advertisements, posters and theater slides, as well as for non-university uses. I waive any right to inspect or approve the finished images or any printed or electronic matter that may be used with them, or to be compensated for them.

I release Cal Poly San Luis Obispo and its employees and agents, including any firm authorized to publish and/or distribute a finished product containing the images, from any claims, damages or liability which I may ever have in connection with the taking of use of the images or printed material used with the images. I am at least 18 years of age and competent to sign this release. I have read this release before signing, I understand its contents, meaning and impact, and I freely accept the terms.

 

Course/Activity
If a course, please denote using the recognized catalog label (e.g., DANC133 or TH230)
Student Participant

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